Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $75.00 / $515.64	Professional		$33.75	$75.00	$515.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $52.85	Professional		$52.85	$52.85	$52.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.30 / $514.30 / $514.30	Professional		$514.30	$514.30	$514.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $36.09	Professional		$27.58	$27.58	$36.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $68.44	Professional		$68.44	$68.44	$68.44