Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $5,116.62 / $20,680.40	Facility		$2,064.40	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $322.39 / $1,076.00	Professional		$161.19	$322.39	$1,076.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,414.62 / $4,969.76	Facility		$55.00	$2,414.62	$4,969.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $5,449.19 / $64,999.35	Professional		$180.00	$5,449.19	$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 / $2,661.30 / $6,657.75	Facility		$826.39	$2,661.30	$6,657.75
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 $863.69 / $1,369.00 / $2,194.00	Facility		$863.69	$1,369.00	$2,194.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,962.22 / $2,617.84 / $4,969.76	Facility		$1,962.22	$2,617.84	$4,969.76
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