Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $12,214.00 / $27,982.24	Facility		$1,733.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.50 / $697.50 / $3,781.00	Professional		$697.50	$697.50	$3,781.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $691.81 / $1,339.15	Facility		$90.00	$691.81	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $376.80 / $3,335.23	Professional		$116.17	$376.80	$3,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $565.48 / $1,620.37	Facility		$216.07	$565.48	$1,620.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $75.00	Professional		$49.50	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.73 / $369.00 / $591.00	Facility		$232.73	$369.00	$591.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $676.85 / $1,324.12	Facility		$448.87	$676.85	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $116.17 / $228.49	Professional		$116.17	$116.17	$228.49
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $666.00 / $5,793.00	Facility		$157.00	$666.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00