Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.52 / $1,689.53 / $1,757.78	Professional		$1,689.52	$1,689.53	$1,757.78
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 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
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 $527.66 / $879.45 / $1,071.33	Facility		$527.66	$879.45	$1,071.33
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 $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00