Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $12,214.00 / $27,982.24	Facility		$1,733.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,500.00 / $2,500.00	Professional		$1,470.00	$2,500.00	$2,500.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $394.21 / $692.21 / $1,339.15	Facility		$394.21	$692.21	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $477.74 / $3,335.23	Professional		$100.50	$477.74	$3,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $284.85 / $1,620.37	Facility		$216.07	$284.85	$1,620.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $50.00	Professional		$49.50	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.73 / $369.00 / $591.00	Facility		$232.73	$369.00	$591.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $676.85 / $1,324.12	Facility		$448.87	$676.85	$1,324.12
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00