Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $467.00 / $645.00	Professional		$144.00	$467.00	$645.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $257.51 / $492.60	Facility		$164.79	$257.51	$492.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $1,613.12 / $64,999.35	Professional		$50.00	$1,613.12	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $308.42 / $424.39	Facility		$127.23	$308.42	$424.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $38.35 / $9,999.99	Professional		$38.35	$38.35	$9,999.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $82.61 / $547.72	Facility		$82.61	$82.61	$547.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $50.00 / $75.00	Professional		$49.50	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $220.00 / $330.79	Facility		$137.00	$220.00	$330.79
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 $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00