Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.13 / $4,497.00 / $18,711.00	Facility		$1,002.13	$4,497.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $139.60 / $1,159.20	Professional		$85.00	$139.60	$1,159.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $564.70 / $1,092.47	Facility		$55.00	$564.70	$1,092.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $3,335.23 / $3,335.23	Professional		$89.96	$3,335.23	$3,335.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $533.17 / $1,392.72	Facility		$36.35	$533.17	$1,392.72
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 $157.07 / $301.00 / $482.00	Facility		$157.07	$301.00	$482.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $366.18 / $564.38 / $1,080.21	Facility		$366.18	$564.38	$1,080.21
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 $566.76 / $746.22 / $1,384.56	Facility		$566.76	$746.22	$1,384.56