Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $9,918.41 / $13,493.61	Facility		$27.78	$9,918.41	$13,493.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $46.63	Professional		$27.78	$27.78	$46.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $129.05 / $240.41	Facility		$93.58	$129.05	$240.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $89.82 / $89.82	Facility		$89.82	$89.82	$89.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $113.00 / $347.43	Facility		$38.19	$113.00	$347.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $106.00 / $79,999.20	Facility		$53.47	$106.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $124.20 / $237.71	Facility		$91.35	$124.20	$237.71