Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.02 / $4,442.00 / $18,711.22	Facility		$528.02	$4,442.00	$18,711.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $385.60 / $975.00	Professional		$192.50	$385.60	$975.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $838.87 / $1,605.58	Facility		$55.00	$838.87	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $5,572.48 / $5,572.48	Professional		$137.94	$5,572.48	$5,572.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $813.82 / $2,113.65	Facility		$266.83	$813.82	$2,113.65
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 $272.86 / $447.00 / $717.00	Facility		$272.86	$447.00	$717.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $143.47 / $282.17	Professional		$137.94	$143.47	$282.17
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$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