Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $5,116.62 / $25,379.10	Facility		$676.00	$5,116.62	$25,379.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.08 / $1,123.63 / $4,678.52	Professional		$564.08	$1,123.63	$4,678.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $668.30 / $1,400.00	Facility		$400.01	$668.30	$1,400.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $222.62 / $468.80	Professional		$113.19	$222.62	$468.80
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 / $7,533.67	Facility		$210.50	$759.95	$7,533.67
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 $217.25 / $356.00 / $571.00	Facility		$217.25	$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 $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