Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $563.00 / $563.00	Professional		$563.00	$563.00	$563.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $538.53 / $705.03 / $1,363.95	Facility		$538.53	$705.03	$1,363.95
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 $284.99 / $532.62 / $1,161.91	Facility		$284.99	$532.62	$1,161.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $679.49 / $1,982.62	Facility		$258.42	$679.49	$1,982.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.47 / $355.47 / $355.47	Professional		$355.47	$355.47	$355.47
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 $183.30 / $376.00 / $602.00	Facility		$183.30	$376.00	$602.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $538.53 / $689.38 / $1,340.75	Facility		$538.53	$689.38	$1,340.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00