Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.26 / $5,377.00 / $18,711.00	Facility		$1,123.26	$5,377.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $653.25 / $5,259.20	Professional		$257.44	$653.25	$5,259.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,780.27 / $3,444.12	Facility		$55.00	$1,780.27	$3,444.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,559.27 / $5,559.27 / $5,559.27	Professional		$5,559.27	$5,559.27	$5,559.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $2,601.75 / $6,259.79	Facility		$159.07	$2,601.75	$6,259.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.74 / $949.00 / $1,520.00	Facility		$578.74	$949.00	$1,520.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.42 / $1,780.27 / $3,405.45	Facility		$1,154.42	$1,780.27	$3,405.45
United Facility/Professional Facility Modifier Low / Median / High Price $548.60 / $648.00 / $4,611.00	Facility		$548.60	$648.00	$4,611.00