Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,464.32 / $27,982.24	Facility		$4,500.00	$14,464.32	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.00 / $1,420.00 / $27,982.24	Professional		$1,133.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $691.81 / $1,339.15	Facility		$55.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $3,335.23 / $3,335.23	Professional		$111.71	$3,335.23	$3,335.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $622.08 / $1,620.37	Facility		$216.07	$622.08	$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 $225.03 / $369.00 / $591.00	Facility		$225.03	$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
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $111.71 / $111.71	Professional		$111.71	$111.71	$111.71
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00