Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $11,522.02 / $27,982.24	Facility		$1,733.00	$11,522.02	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $2,740.85 / $8,455.00	Professional		$1,620.00	$2,740.85	$8,455.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,874.13 / $3,857.32	Facility		$55.00	$1,874.13	$3,857.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $445.50 / $5,831.00 / $64,999.35	Professional		$445.50	$5,831.00	$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 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.59 / $1,063.00 / $1,703.00	Facility		$554.59	$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 / $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