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 $187.85 / $2,575.00 / $4,080.00	Professional		$187.85	$2,575.00	$4,080.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,603.99 / $12,776.12	Facility		$1,800.00	$6,603.99	$12,776.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.56 / $1,656.75 / $10,994.50	Professional		$1,618.56	$1,656.75	$10,994.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,120.86 / $5,875.62 / $16,692.80	Facility		$2,120.86	$5,875.62	$16,692.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $75.00	Professional		$49.50	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,687.24 / $5,640.00 / $5,640.00	Facility		$1,687.24	$5,640.00	$5,640.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,618.56 / $1,618.56 / $1,656.75	Professional		$1,618.56	$1,618.56	$1,656.75
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00