Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,354.00 / $12,214.00 / $23,717.40	Facility		$3,354.00	$12,214.00	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $1,420.00 / $4,159.00	Professional		$707.00	$1,420.00	$4,159.00
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 $1,105.57 / $1,806.78 / $64,999.35	Professional		$1,105.57	$1,806.78	$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 $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 $1,648.57 / $4,135.00 / $10,312.00	Facility		$1,648.57	$4,135.00	$10,312.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00