Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $6,284.54 / $18,711.00	Facility		$572.67	$6,284.54	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $572.67 / $958.37	Professional		$235.60	$572.67	$958.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $564.70 / $1,102.42	Facility		$55.00	$564.70	$1,102.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $822.50 / $1,456.65 / $4,800.75	Professional		$822.50	$1,456.65	$4,800.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.35 / $1,189.61 / $1,664.92	Professional		$885.35	$1,189.61	$1,664.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.99 / $874.64 / $1,354.54	Facility		$173.99	$874.64	$1,354.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.28 / $987.71 / $1,392.58	Professional		$596.28	$987.71	$1,392.58
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 $629.95 / $992.32 / $1,102.15	Facility		$629.95	$992.32	$1,102.15
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 $703.63 / $1,070.04 / $1,456.65	Professional		$703.63	$1,070.04	$1,456.65
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00