Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,449.00 / $15,978.56 / $28,541.25	Facility		$3,449.00	$15,978.56	$28,541.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,425.50 / $2,750.00 / $3,063.16	Professional		$2,425.50	$2,750.00	$3,063.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,342.14 / $31,278.54	Facility		$9,886.41	$16,342.14	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,671.69 / $2,671.69 / $2,671.69	Professional		$2,671.69	$2,671.69	$2,671.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,167.68 / $15,601.01 / $38,422.04	Facility		$5,167.68	$15,601.01	$38,422.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,315.62 / $8,714.00 / $13,964.00	Facility		$5,315.62	$8,714.00	$13,964.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,671.69 / $2,671.69 / $2,671.69	Professional		$2,671.69	$2,671.69	$2,671.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00