Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $352.00 / $668.35	Facility		$6.19	$352.00	$668.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $84.38 / $163.24	Facility		$52.27	$84.38	$163.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $252.00 / $64,999.35	Professional		$28.16	$252.00	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $37.64 / $49.07	Facility		$17.05	$37.64	$49.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $47.99 / $115.47	Facility		$25.23	$47.99	$115.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $80.00	Professional		$40.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $72.00 / $93.05	Facility		$45.00	$72.00	$93.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $84.33 / $161.41	Facility		$54.72	$84.33	$161.41
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $40.00	Professional		$14.00	$14.00	$40.00