Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $10,122.46 / $22,024.00	Facility		$688.00	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $23,933.33	Professional		$688.00	$688.00	$23,933.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22,594.74 / $22,594.74 / $22,594.74	Facility		$22,594.74	$22,594.74	$22,594.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28,335.61 / $56,216.48 / $135,256.57	Facility		$28,335.61	$56,216.48	$135,256.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,934.50 / $22,594.74 / $53,991.92	Facility		$17,934.50	$22,594.74	$53,991.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $25,152.00	Facility		$1,120.00	$3,323.00	$25,152.00