Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,425.00 / $13,222.56 / $27,982.24	Facility		$4,425.00	$13,222.56	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,443.64 / $15,443.64 / $15,443.64	Professional		$15,443.64	$15,443.64	$15,443.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32,582.47 / $49,692.55 / $96,135.53	Facility		$32,582.47	$49,692.55	$96,135.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,601.22 / $29,601.22 / $29,601.22	Facility		$29,601.22	$29,601.22	$29,601.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,937.73 / $9,937.73 / $9,937.73	Professional		$9,937.73	$9,937.73	$9,937.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,402.31 / $37,681.94 / $90,662.59	Facility		$16,402.31	$37,681.94	$90,662.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,707.31 / $42,437.00 / $79,999.20	Facility		$16,707.31	$42,437.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,582.47 / $48,589.87 / $95,056.24	Facility		$32,582.47	$48,589.87	$95,056.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00