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 / $56,377.45	Facility		$4,500.00	$14,464.32	$56,377.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $2,500.00 / $5,944.80	Professional		$194.80	$2,500.00	$5,944.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $15,222.28 / $31,278.54	Facility		$9,817.25	$15,222.28	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $755.10 / $17,232.93 / $64,999.35	Professional		$755.10	$17,232.93	$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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,444.31 / $5,178.20 / $6,557.22	Professional		$2,444.31	$5,178.20	$6,557.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,167.68 / $9,716.85 / $38,422.04	Facility		$5,167.68	$9,716.85	$38,422.04
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 $4,177.62 / $8,714.00 / $13,964.00	Facility		$4,177.62	$8,714.00	$13,964.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,671.69 / $3,385.04 / $5,464.82	Professional		$2,671.69	$3,385.04	$5,464.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00