Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.56 / $751.56 / $1,288.81	Facility		$751.56	$751.56	$1,288.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.56 / $751.56 / $890.93	Professional		$751.56	$751.56	$890.93
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 $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
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