Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.00 / $12,214.00 / $27,982.24	Facility		$5,128.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,737.61 / $16,737.61 / $16,737.61	Professional		$16,737.61	$16,737.61	$16,737.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36,382.71 / $52,051.74 / $100,699.63	Facility		$36,382.71	$52,051.74	$100,699.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17,500.50 / $47,539.40 / $114,379.58	Facility		$17,500.50	$47,539.40	$114,379.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,500.50 / $44,451.00 / $79,999.20	Facility		$17,500.50	$44,451.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,382.71 / $51,644.57 / $99,569.09	Facility		$36,382.71	$51,644.57	$99,569.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00