Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $634.00 / $781.95	Facility		$140.82	$634.00	$781.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.80 / $370.80 / $513.79	Professional		$352.80	$370.80	$513.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $384.52 / $735.54	Facility		$298.89	$384.52	$735.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $3,335.23	Professional		$50.00	$50.00	$3,335.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $348.45 / $546.26	Facility		$168.48	$348.45	$546.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $129.59 / $362.91 / $1,075.95	Facility		$129.59	$362.91	$1,075.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $193.89 / $193.89	Professional		$193.89	$193.89	$193.89
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 $106.70 / $328.00 / $667.51	Facility		$106.70	$328.00	$667.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $375.99 / $731.23	Facility		$280.58	$375.99	$731.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00