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 / $27,982.24	Facility		$3,354.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $855.00 / $9,167.57	Professional		$600.00	$855.00	$9,167.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $16,342.14 / $31,278.54	Facility		$2,800.00	$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 $5,497.59 / $8,714.00 / $13,964.00	Facility		$5,497.59	$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