Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $350.00 / $350.00	Professional		$206.40	$350.00	$350.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $2,000.00 / $2,000.00	Facility		$97.86	$2,000.00	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $37.49 / $64,999.35	Professional		$21.00	$37.49	$64,999.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $26.84 / $1,152.99	Facility		$26.84	$26.84	$1,152.99
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 $27.34 / $69.00 / $69.00	Facility		$27.34	$69.00	$69.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
United Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $110.50 / $141.25	Facility		$100.99	$110.50	$141.25