Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.87 / $442.67 / $856.38	Facility		$234.87	$442.67	$856.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $170.94 / $285.58	Professional		$141.06	$170.94	$285.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $216.20 / $520.17	Facility		$56.85	$216.20	$520.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $143.90 / $151.96	Facility		$113.10	$143.90	$151.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.87 / $442.41 / $846.77	Facility		$234.87	$442.41	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $136.05 / $136.05	Professional		$136.05	$136.05	$136.05
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00