Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $2,024.61 / $2,826.40	Facility		$1,227.04	$2,024.61	$2,826.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $3,311.36	Professional		$1,227.04	$1,227.04	$3,311.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.05 / $2,269.03 / $4,389.68	Facility		$1,405.05	$2,269.03	$4,389.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $644.08	Professional		$8.01	$8.01	$644.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $730.67 / $2,015.51 / $6,010.73	Facility		$730.67	$2,015.51	$6,010.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,209.00 / $1,938.00 / $79,999.20	Facility		$1,209.00	$1,938.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,655.68 / $2,269.03 / $4,340.41	Facility		$1,655.68	$2,269.03	$4,340.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.01 / $364.01 / $364.01	Professional		$364.01	$364.01	$364.01
United Facility/Professional Facility Modifier Low / Median / High Price $674.30 / $703.50 / $722.17	Facility		$674.30	$703.50	$722.17