Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.21 / $931.68 / $1,854.62	Facility		$226.21	$931.68	$1,854.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.22 / $226.22 / $491.81	Professional		$226.22	$226.22	$491.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $724.92 / $1,071.79 / $1,996.56	Facility		$724.92	$1,071.79	$1,996.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.30 / $830.30 / $830.30	Facility		$830.30	$830.30	$830.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $341.72 / $994.37 / $2,576.46	Facility		$341.72	$994.37	$2,576.46
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 $435.10 / $881.00 / $79,999.20	Facility		$435.10	$881.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.92 / $1,031.43 / $1,974.14	Facility		$724.92	$1,031.43	$1,974.14