Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $500.00 / $2,769.52	Professional		$283.60	$500.00	$2,769.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $650.64 / $1,339.15	Facility		$55.00	$650.64	$1,339.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $3,335.23 / $64,999.35	Professional		$204.23	$3,335.23	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $284.85 / $1,620.37	Facility		$216.07	$284.85	$1,620.37
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 $176.85 / $369.00 / $591.00	Facility		$176.85	$369.00	$591.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $448.87 / $691.81 / $1,324.12	Facility		$448.87	$691.81	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $142.61 / $228.49	Professional		$111.71	$142.61	$228.49
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$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