Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $6,623.76 / $8,591.52	Facility		$468.90	$6,623.76	$8,591.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $56.47 / $56.47	Professional		$56.47	$56.47	$56.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $442.67 / $856.38	Facility		$275.85	$442.67	$856.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,068.72 / $64,999.35 / $64,999.35	Professional		$6,068.72	$64,999.35	$64,999.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $241.81 / $685.41	Facility		$142.59	$241.81	$685.41
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 $148.83 / $236.00 / $378.00	Facility		$148.83	$236.00	$378.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $666.00 / $6,216.00	Facility		$107.00	$666.00	$6,216.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00