Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.78 / $2,006.18 / $3,600.30	Facility		$507.78	$2,006.18	$3,600.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $507.78 / $1,579.31	Professional		$507.78	$507.78	$1,579.31
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 $0.02 / $0.02 / $644.08	Professional		$0.02	$0.02	$644.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
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