Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $858.51	Facility		$517.29	$517.29	$858.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $550.00 / $636.39	Professional		$517.29	$550.00	$636.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $484.04 / $936.42	Facility		$298.27	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $600.00 / $660.00	Professional		$40.00	$600.00	$660.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $360.82 / $516.72	Facility		$169.25	$360.82	$516.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $470.68 / $950.50	Facility		$152.32	$470.68	$950.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$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 $369.73 / $484.04 / $925.91	Facility		$369.73	$484.04	$925.91