Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.40 / $791.41 / $819.77	Facility		$791.40	$791.41	$819.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.45 / $2,269.03 / $4,389.68	Facility		$1,387.45	$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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
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 $1,471.37 / $2,269.03 / $4,340.41	Facility		$1,471.37	$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