Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $5,764.88 / $22,024.00	Facility		$1,710.00	$5,764.88	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $506.00 / $2,161.00	Professional		$506.00	$506.00	$2,161.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $667.91 / $1,292.89	Facility		$90.00	$667.91	$1,292.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $3,325.39 / $3,325.39	Professional		$113.19	$3,325.39	$3,325.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.56 / $320.83 / $384.40	Professional		$303.56	$320.83	$384.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $563.25 / $1,828.44	Facility		$210.50	$563.25	$1,828.44
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 $224.69 / $356.00 / $571.00	Facility		$224.69	$356.00	$571.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
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