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 $183.48 / $2,308.31 / $6,188.00	Professional		$183.48	$2,308.31	$6,188.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $691.81 / $1,339.15	Facility		$55.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $9,842.24 / $9,842.24	Professional		$111.71	$9,842.24	$9,842.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $622.08 / $1,620.37	Facility		$216.07	$622.08	$1,620.37
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 $232.73 / $369.00 / $591.00	Facility		$232.73	$369.00	$591.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $676.85 / $1,324.12	Facility		$448.87	$676.85	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $111.71 / $111.71	Professional		$111.71	$111.71	$111.71
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00