Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.62 / $343.62 / $343.62	Facility		$343.62	$343.62	$343.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.50 / $262.39	Professional		$30.00	$41.50	$262.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.96 / $446.53 / $863.86	Facility		$151.96	$446.53	$863.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $47.20 / $3,335.23	Professional		$35.36	$47.20	$3,335.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $14.15	Professional		$11.00	$11.00	$14.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $396.60 / $1,145.11	Facility		$144.29	$396.60	$1,145.11
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 $150.13 / $238.00 / $381.00	Facility		$150.13	$238.00	$381.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $152.60	Professional		$41.60	$41.60	$152.60
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