Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.71 / $306.87 / $471.20	Facility		$232.71	$306.87	$471.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.00 / $652.00	Professional		$25.00	$30.00	$652.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $430.54 / $567.35 / $1,097.58	Facility		$430.54	$567.35	$1,097.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $3,335.23 / $3,335.23	Professional		$57.60	$3,335.23	$3,335.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $183.40 / $1,401.05	Facility		$108.77	$183.40	$1,401.05
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 $302.00 / $485.00 / $485.00	Facility		$302.00	$485.00	$485.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27