Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $14,464.32 / $27,982.24	Facility		$5,116.62	$14,464.32	$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 / $1,874.13 / $3,814.01	Facility		$55.00	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $672.08 / $5,709.52 / $64,999.35	Professional		$672.08	$5,709.52	$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 $635.54 / $1,152.49 / $4,932.85	Facility		$635.54	$1,152.49	$4,932.85
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 $509.41 / $1,063.00 / $1,703.00	Facility		$509.41	$1,063.00	$1,703.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,993.85 / $3,814.01	Facility		$1,292.92	$1,993.85	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.57 / $427.18 / $672.08	Professional		$328.57	$427.18	$672.08
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $938.00 / $4,611.00	Facility		$425.00	$938.00	$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