Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Facility		$368.46	$368.46	$368.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Professional		$368.46	$368.46	$368.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,079.15 / $22,068.24 / $42,214.04	Facility		$15,079.15	$22,068.24	$42,214.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $56.93 / $350.20	Professional		$50.00	$56.93	$350.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,292.23 / $19,998.18 / $32,970.07	Facility		$5,292.23	$19,998.18	$32,970.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,942.98 / $20,925.27 / $68,222.31	Facility		$7,942.98	$20,925.27	$68,222.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,917.98 / $5,917.98 / $5,917.98	Professional		$5,917.98	$5,917.98	$5,917.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,351.47 / $11,760.00 / $18,846.00	Facility		$3,351.47	$11,760.00	$18,846.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,288.48 / $21,578.54 / $41,966.97	Facility		$15,288.48	$21,578.54	$41,966.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $21,730.94 / $28,355.33 / $44,562.66	Facility		$21,730.94	$28,355.33	$44,562.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Professional		$63.26	$63.26	$63.26