Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $196.14 / $396.06	Facility		$147.11	$196.14	$396.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $172.36 / $383.55	Professional		$133.44	$172.36	$383.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $218.90 / $410.43	Facility		$171.01	$218.90	$410.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $359.81 / $1,010.75	Professional		$148.00	$359.81	$1,010.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $278.39 / $412.27	Professional		$147.43	$278.39	$412.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $270.82 / $392.16	Facility		$146.01	$270.82	$392.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $295.02 / $392.16	Professional		$147.06	$295.02	$392.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $143.26 / $280.27	Professional		$79.25	$143.26	$280.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.86 / $270.39 / $320.93	Facility		$225.86	$270.39	$320.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $205.22 / $389.91	Facility		$171.01	$205.22	$389.91
United Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $239.50 / $417.59	Professional		$173.05	$239.50	$417.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $113.46 / $144.72	Professional		$113.46	$113.46	$144.72