Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,464.32 / $27,982.24	Facility		$4,500.00	$14,464.32	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,815.07 / $15,815.07 / $15,815.07	Professional		$15,815.07	$15,815.07	$15,815.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38,627.30 / $49,692.55 / $96,135.53	Facility		$38,627.30	$49,692.55	$96,135.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,004.79 / $30,004.79 / $30,004.79	Facility		$30,004.79	$30,004.79	$30,004.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,402.31 / $58,180.89 / $145,850.73	Facility		$16,402.31	$58,180.89	$145,850.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19,001.45 / $42,437.00 / $79,999.20	Facility		$19,001.45	$42,437.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,824.51 / $49,692.55 / $95,056.24	Facility		$36,824.51	$49,692.55	$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