Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.93 / $4,500.00 / $20,680.40	Facility		$732.93	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $400.00 / $962.50	Professional		$119.55	$400.00	$962.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $342.52 / $567.35 / $1,097.58	Facility		$342.52	$567.35	$1,097.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $3,150.00 / $3,150.00	Professional		$239.20	$3,150.00	$3,150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $183.40 / $1,401.05	Facility		$108.77	$183.40	$1,401.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $110.00	Professional		$45.00	$50.00	$110.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $485.00	Facility		$120.00	$120.00	$485.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00