Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $171.96	Facility		$104.22	$104.22	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $304.11	Professional		$104.22	$104.22	$304.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $448.55 / $867.78	Facility		$296.14	$448.55	$867.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.89 / $394.89 / $394.89	Facility		$394.89	$394.89	$394.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $539.08 / $1,102.76	Facility		$151.19	$539.08	$1,102.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $383.00 / $79,999.20	Facility		$187.10	$383.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $327.30 / $448.30 / $858.03	Facility		$327.30	$448.30	$858.03