Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $10,122.46 / $27,982.24	Facility		$655.61	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $690.12	Professional		$655.61	$655.61	$690.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $4,321.81 / $8,361.00	Facility		$3,121.00	$4,321.81	$8,361.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,557.08 / $1,557.08 / $1,557.08	Facility		$1,557.08	$1,557.08	$1,557.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,365.50 / $1,424.27 / $9,502.73	Facility		$1,365.50	$1,424.27	$9,502.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.82 / $1,365.50 / $1,424.27	Professional		$996.82	$1,365.50	$1,424.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,453.05 / $3,691.00 / $79,999.20	Facility		$1,453.05	$3,691.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00