Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.95 / $125.20	Professional		$60.04	$84.95	$125.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $76.50 / $451.00	Professional		$43.12	$76.50	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $201.75	Professional		$36.00	$36.00	$201.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.24 / $704.24 / $704.24	Professional		$704.24	$704.24	$704.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $400.22 / $426.12	Facility		$262.83	$400.22	$426.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $72.18	Professional		$55.16	$55.16	$72.18
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00