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 $450.00 / $1,320.00 / $3,781.00	Professional		$450.00	$1,320.00	$3,781.00
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 / $397.02 / $3,500.00	Professional		$113.19	$397.02	$3,500.00
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 $49.50 / $50.00 / $75.00	Professional		$49.50	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $356.00 / $571.00	Facility		$224.69	$356.00	$571.00
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 $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$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