Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $1,420.00 / $27,982.24	Professional		$500.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,351.48 / $31,633.68	Facility		$55.00	$16,351.48	$31,633.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,671.69 / $10,994.50 / $10,994.50	Professional		$2,671.69	$10,994.50	$10,994.50
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 $49.50 / $50.00 / $50.00	Professional		$49.50	$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 $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$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 $4,075.00 / $11,540.00 / $19,271.00	Facility		$4,075.00	$11,540.00	$19,271.00