Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $215.53 / $1,510.47	Facility		$130.63	$215.53	$1,510.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $130.63 / $371.00	Professional		$87.18	$130.63	$371.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $203.86 / $293.27 / $2,489.36	Facility		$203.86	$293.27	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $293.10 / $952.73	Professional		$141.83	$293.10	$952.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $233.56 / $424.39	Facility		$138.74	$233.56	$424.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $252.94 / $383.83	Professional		$96.55	$252.94	$383.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $209.25 / $314.74	Facility		$82.61	$209.25	$314.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $211.26 / $314.74	Professional		$104.50	$211.26	$314.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $215.48 / $221.77	Facility		$143.83	$215.48	$221.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $251.29 / $489.71	Facility		$166.99	$251.29	$489.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $218.58 / $297.30	Professional		$141.83	$218.58	$297.30