Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $5,539.00 / $22,024.00	Facility		$2,064.40	$5,539.00	$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 / $691.81 / $1,339.15	Facility		$55.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $4,377.56 / $4,377.56	Professional		$1,500.00	$4,377.56	$4,377.56
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 $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $369.00 / $591.00	Facility		$176.85	$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