Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $27,982.24	Professional		$1,420.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33,194.94 / $52,051.74 / $100,699.63	Facility		$33,194.94	$52,051.74	$100,699.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17,500.50 / $37,081.15 / $89,217.08	Facility		$17,500.50	$37,081.15	$89,217.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,500.50 / $44,451.00 / $79,999.20	Facility		$17,500.50	$44,451.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,194.94 / $50,896.70 / $99,569.09	Facility		$33,194.94	$50,896.70	$99,569.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00