Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.18 / $989.00 / $1,925.95	Facility		$314.18	$989.00	$1,925.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $314.18 / $450.36	Professional		$314.18	$314.18	$450.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $714.15 / $1,131.83 / $2,108.42	Facility		$714.15	$1,131.83	$2,108.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $320.35	Professional		$8.01	$8.01	$320.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $1,091.29 / $3,902.66	Facility		$376.09	$1,091.29	$3,902.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.28 / $195.32 / $207.70	Facility		$136.28	$195.32	$207.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.47 / $1,110.61 / $2,084.75	Facility		$832.47	$1,110.61	$2,084.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $187.37 / $187.37	Professional		$187.37	$187.37	$187.37