Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $10,122.46 / $27,982.24	Facility		$287.56	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $287.56	Professional		$287.56	$287.56	$287.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,817.53 / $2,590.05 / $5,010.72	Facility		$1,817.53	$2,590.05	$5,010.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.36 / $1,159.36 / $1,159.36	Facility		$1,159.36	$1,159.36	$1,159.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $1,060.48 / $6,109.18	Facility		$810.48	$1,060.48	$6,109.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.21 / $1,016.72 / $1,060.48	Professional		$742.21	$1,016.72	$1,060.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.58 / $2,212.00 / $79,999.20	Facility		$601.58	$2,212.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,588.57 / $4,954.47	Facility		$1,679.53	$2,588.57	$4,954.47
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00