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 $10,895.24 / $10,895.24 / $10,895.24	Professional		$10,895.24	$10,895.24	$10,895.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24,233.94 / $31,176.05 / $60,313.38	Facility		$24,233.94	$31,176.05	$60,313.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,940.16 / $17,940.16 / $17,940.16	Facility		$17,940.16	$17,940.16	$17,940.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,258.49 / $36,656.73 / $91,892.90	Facility		$10,258.49	$36,656.73	$91,892.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,481.81 / $26,624.00 / $79,999.20	Facility		$10,481.81	$26,624.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,201.20 / $31,176.05 / $59,636.26	Facility		$23,201.20	$31,176.05	$59,636.26
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