Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.37 / $981.37 / $1,352.00	Professional		$981.37	$981.37	$1,352.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.90 / $6,603.99 / $12,776.12	Facility		$1,211.90	$6,603.99	$12,776.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.56 / $1,656.75 / $5,010.00	Professional		$1,618.56	$1,656.75	$5,010.00
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 / $3,519.00 / $5,640.00	Facility		$1,687.24	$3,519.00	$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