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 $1,103.00 / $1,300.00 / $4,217.00	Professional		$1,103.00	$1,300.00	$4,217.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $502.10 / $825.55 / $1,597.11	Facility		$502.10	$825.55	$1,597.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $340.82 / $3,335.23	Professional		$202.33	$340.82	$3,335.23
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 $267.16 / $720.25 / $2,456.67	Facility		$267.16	$720.25	$2,456.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $403.26	Professional		$49.50	$50.00	$403.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.37 / $440.00 / $705.00	Facility		$268.37	$440.00	$705.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $202.33 / $230.83	Professional		$202.33	$202.33	$230.83
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00