Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.88 / $4,500.00 / $20,680.40	Facility		$943.88	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $1,208.72 / $4,931.16	Professional		$135.85	$1,208.72	$4,931.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $668.30 / $1,304.66	Facility		$388.99	$668.30	$1,304.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $587.52 / $1,857.49	Professional		$113.19	$587.52	$1,857.49
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 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.25 / $356.00 / $571.00	Facility		$217.25	$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 $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