Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $5,539.00 / $22,024.00	Facility		$1,710.00	$5,539.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $817.00	Professional		$358.00	$358.00	$817.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $668.30 / $1,304.66	Facility		$90.00	$668.30	$1,304.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $1,190.40 / $8,049.13	Professional		$113.19	$1,190.40	$8,049.13
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 $210.50 / $759.95 / $5,775.69	Facility		$210.50	$759.95	$5,775.69
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 $170.74 / $571.00 / $79,999.20	Facility		$170.74	$571.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,304.66	Facility		$495.66	$681.04	$1,304.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $113.19 / $222.62	Professional		$113.19	$113.19	$222.62
United Facility/Professional Facility Modifier Low / Median / High Price $217.52 / $840.90 / $1,650.96	Facility		$217.52	$840.90	$1,650.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00