Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $6,522.00 / $22,024.00	Facility		$2,291.00	$6,522.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $758.50 / $1,966.00	Professional		$750.00	$758.50	$1,966.00
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 / $1,410.40 / $2,280.00	Professional		$113.19	$1,410.40	$2,280.00
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 / $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 $546.00 / $857.96 / $1,650.96	Facility		$546.00	$857.96	$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