Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $6,470.00 / $20,680.40	Facility		$1,710.00	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $1,320.00	Professional		$74.00	$74.00	$1,320.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,230.20 / $2,379.94	Facility		$55.00	$1,230.20	$2,379.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $31,141.00 / $31,141.00	Professional		$209.57	$31,141.00	$31,141.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $405.37 / $1,220.48 / $3,244.04	Facility		$405.37	$1,220.48	$3,244.04
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 $399.92 / $656.00 / $1,051.00	Facility		$399.92	$656.00	$1,051.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $209.57 / $209.57	Professional		$209.57	$209.57	$209.57
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00