Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $226.78	Facility		$184.38	$184.38	$226.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $208.14	Professional		$184.38	$184.38	$208.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $481.14 / $805.31 / $1,558.84	Facility		$481.14	$805.31	$1,558.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.69 / $2,105.69 / $2,105.69	Facility		$2,105.69	$2,105.69	$2,105.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.61 / $681.78 / $1,238.00	Facility		$616.61	$681.78	$1,238.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $12.91	Professional		$12.91	$12.91	$12.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.87 / $688.00 / $79,999.20	Facility		$374.87	$688.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $481.14 / $786.29 / $1,541.34	Facility		$481.14	$786.29	$1,541.34