Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $1,726.48 / $2,911.49	Facility		$531.89	$1,726.48	$2,911.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $531.89 / $2,982.46	Professional		$531.89	$531.89	$2,982.46
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 / $828.70	Professional		$8.01	$364.01	$828.70
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 $204.62 / $311.57 / $331.65	Facility		$204.62	$311.57	$331.65
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