Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.32 / $7,920.26 / $27,982.24	Facility		$387.32	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $163.50 / $293.39	Professional		$40.00	$163.50	$293.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $87.63 / $186.61	Facility		$61.23	$87.63	$186.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $63.59 / $119.36	Facility		$25.23	$63.59	$119.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $55.00	Professional		$50.00	$50.00	$55.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $72.00 / $72.00	Facility		$28.37	$72.00	$72.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $84.33 / $161.41	Facility		$59.76	$84.33	$161.41