Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.19 / $1,958.08 / $2,873.64	Facility		$1,143.19	$1,958.08	$2,873.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.58 / $1,145.06 / $2,483.02	Professional		$1,033.58	$1,145.06	$2,483.02
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 $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
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