Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,698.00 / $20,680.40	Facility		$2,291.00	$5,698.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.00 / $2,346.40 / $7,841.60	Professional		$955.00	$2,346.40	$7,841.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,407.88 / $4,913.96	Facility		$55.00	$2,407.88	$4,913.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $873.90 / $6,191.64 / $64,999.35	Professional		$873.90	$6,191.64	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.39 / $2,232.81 / $6,403.08	Facility		$826.39	$2,232.81	$6,403.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.32 / $1,369.00 / $2,194.00	Facility		$656.32	$1,369.00	$2,194.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,814.55 / $2,568.87 / $4,913.96	Facility		$1,814.55	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.24 / $550.38 / $873.90	Professional		$427.24	$550.38	$873.90
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00