Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $391.00 / $1,344.00	Facility		$91.66	$391.00	$1,344.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $93.33	Professional		$91.66	$91.66	$93.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $152.41 / $152.41	Facility		$152.41	$152.41	$152.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $203.28 / $310.69	Professional		$40.00	$203.28	$310.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $191.15 / $191.15	Facility		$191.15	$191.15	$191.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $120.99 / $152.41	Facility		$120.99	$120.99	$152.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $239.16	Professional		$239.16	$239.16	$239.16