Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Facility		$87.57	$87.57	$87.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Professional		$87.57	$87.57	$400.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Facility		$491.00	$491.00	$491.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $81.00 / $614.00	Professional		$40.00	$81.00	$614.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $493.61	Professional		$12.00	$12.00	$493.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.12 / $812.12 / $812.12	Professional		$812.12	$812.12	$812.12
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 $44.13 / $44.13 / $57.74	Professional		$44.13	$44.13	$57.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $68.44	Professional		$68.44	$68.44	$68.44