Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $2,658.01	Facility		$855.25	$855.25	$2,658.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.22 / $855.25 / $1,136.89	Professional		$760.22	$855.25	$1,136.89
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 / $364.01 / $686.04	Professional		$8.01	$364.01	$686.04
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