Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $90.01 / $90.01	Facility		$90.01	$90.01	$90.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $86.23 / $103.78	Professional		$62.33	$86.23	$103.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $773.42 / $773.42 / $773.42	Facility		$773.42	$773.42	$773.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $75.00 / $136.82	Professional		$60.93	$75.00	$136.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.37 / $1,109.45 / $2,042.66	Facility		$405.37	$1,109.45	$2,042.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.30 / $422.30 / $422.30	Facility		$314.30	$422.30	$422.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $773.42 / $773.42 / $1,230.20	Facility		$773.42	$773.42	$1,230.20
United Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $140.40 / $247.59	Professional		$88.31	$140.40	$247.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $91.30 / $91.30	Professional		$67.93	$91.30	$91.30