Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.07 / $11,522.02 / $27,982.24	Facility		$1,998.07	$11,522.02	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $1,420.00 / $4,217.00	Professional		$666.75	$1,420.00	$4,217.00
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 $230.40 / $9,213.16 / $64,999.35	Professional		$230.40	$9,213.16	$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 $810.48 / $1,512.34 / $6,109.18	Facility		$810.48	$1,512.34	$6,109.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.81 / $1,380.00 / $2,212.00	Facility		$870.81	$1,380.00	$2,212.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$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 $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00