Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,354.00 / $12,214.00 / $23,717.40	Facility		$3,354.00	$12,214.00	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,579.61 / $6,579.61 / $6,579.61	Professional		$6,579.61	$6,579.61	$6,579.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,111.49 / $10,853.10 / $20,996.48	Facility		$7,111.49	$10,853.10	$20,996.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $599.51 / $3,929.69	Professional		$366.37	$599.51	$3,929.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.76 / $696.76 / $696.76	Professional		$696.76	$696.76	$696.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,495.04 / $8,918.37 / $22,357.02	Facility		$2,495.04	$8,918.37	$22,357.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,648.96 / $9,268.00 / $79,999.20	Facility		$3,648.96	$9,268.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,111.49 / $10,612.27 / $20,760.75	Facility		$7,111.49	$10,612.27	$20,760.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,711.10 / $1,746.53 / $3,929.69	Professional		$1,711.10	$1,746.53	$3,929.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00