Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $4,500.00 / $20,680.40	Facility		$51.00	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $75.25	Professional		$51.00	$51.00	$75.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,129.34 / $2,186.10	Facility		$55.00	$1,129.34	$2,186.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $78.00 / $379.30	Professional		$74.09	$78.00	$379.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $582.32 / $1,758.28	Facility		$228.86	$582.32	$1,758.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $125.35	Professional		$125.35	$125.35	$125.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.92 / $965.00 / $965.00	Facility		$379.92	$965.00	$965.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.64 / $1,104.92 / $2,161.55	Facility		$707.64	$1,104.92	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $78.00 / $78.00	Professional		$74.09	$78.00	$78.00
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00