Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $785.65 / $1,303.85	Facility		$785.65	$785.65	$1,303.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $933.33 / $1,303.85	Professional		$785.65	$933.33	$1,303.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $484.04 / $936.42	Facility		$289.37	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $415.29 / $750.00 / $3,900.00	Professional		$415.29	$750.00	$3,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $345.93 / $476.01	Facility		$169.25	$345.93	$476.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $523.45 / $950.50	Facility		$152.32	$523.45	$950.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $75.00	Professional		$50.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $483.76 / $925.91	Facility		$313.88	$483.76	$925.91