Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,399.57 / $11,399.57 / $11,399.57	Professional		$11,399.57	$11,399.57	$11,399.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,141.87 / $37,297.19 / $72,155.38	Facility		$26,141.87	$37,297.19	$72,155.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $6,510.74	Professional		$40.00	$40.00	$6,510.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,047.37 / $19,857.63 / $47,777.37	Facility		$12,047.37	$19,857.63	$47,777.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19,876.00 / $31,851.00 / $79,999.20	Facility		$19,876.00	$31,851.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,185.55 / $37,275.87 / $71,345.31	Facility		$24,185.55	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,510.74 / $6,510.74 / $6,510.74	Professional		$6,510.74	$6,510.74	$6,510.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00