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 $1,340.00 / $1,420.00 / $27,982.24	Professional		$1,340.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52,162.95 / $81,794.74 / $158,240.63	Facility		$52,162.95	$81,794.74	$158,240.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27,500.50 / $47,539.40 / $129,609.86	Facility		$27,500.50	$47,539.40	$129,609.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,500.50 / $69,851.00 / $79,999.20	Facility		$27,500.50	$69,851.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52,162.95 / $79,979.70 / $156,464.09	Facility		$52,162.95	$79,979.70	$156,464.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $49,837.00 / $71,362.00	Facility		$7,425.00	$49,837.00	$71,362.00