Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.03 / $854.03 / $854.03	Professional		$854.03	$854.03	$854.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $173.34 / $335.35	Facility		$134.74	$173.34	$335.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $75.00 / $75.00	Professional		$27.63	$75.00	$75.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $207.50 / $520.17	Facility		$56.85	$207.50	$520.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $148.00 / $148.00	Facility		$58.28	$148.00	$148.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $173.34 / $331.58	Facility		$131.33	$173.34	$331.58