Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $847.47 / $1,785.05	Facility		$437.72	$847.47	$1,785.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.72 / $442.67 / $856.38	Facility		$331.72	$442.67	$856.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $1,415.11 / $64,999.35	Professional		$136.05	$1,415.11	$64,999.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $438.47 / $1,162.96	Facility		$142.59	$438.47	$1,162.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $60.00	Professional		$50.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $378.00 / $378.00	Facility		$236.00	$378.00	$378.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.01 / $442.67 / $846.77	Facility		$323.01	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $96.88 / $150.80	Professional		$73.72	$96.88	$150.80
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00