Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.78 / $10,122.46 / $22,024.00	Facility		$783.78	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.16 / $1,586.16 / $1,905.16	Professional		$1,586.16	$1,586.16	$1,905.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $404.87 / $586.46 / $4,895.64	Facility		$404.87	$586.46	$4,895.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.99 / $578.85 / $5,802.99	Facility		$173.99	$578.85	$5,802.99
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 $189.86 / $301.00 / $482.00	Facility		$189.86	$301.00	$482.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.51 / $569.84 / $1,102.42	Facility		$426.51	$569.84	$1,102.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00