Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $27,982.24	Professional		$1,420.00	$1,420.00	$27,982.24
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 / $28,335.61 / $28,335.61	Facility		$28,335.61	$28,335.61	$28,335.61
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 / $17,934.50 / $22,594.74	Facility		$17,934.50	$17,934.50	$22,594.74
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $25,152.00	Facility		$497.00	$1,078.00	$25,152.00