Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,002.17 / $3,048.00	Professional		$824.00	$1,002.17	$3,048.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,434.52 / $4,954.47	Facility		$55.00	$2,434.52	$4,954.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $318.64 / $857.09	Professional		$194.72	$318.64	$857.09
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 $810.48 / $2,539.15 / $6,109.18	Facility		$810.48	$2,539.15	$6,109.18
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 $661.73 / $1,380.00 / $2,212.00	Facility		$661.73	$1,380.00	$2,212.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $419.02 / $534.94 / $857.09	Professional		$419.02	$534.94	$857.09
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