Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $103.93 / $103.93	Facility		$91.79	$103.93	$103.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $91.79 / $154.78	Professional		$60.96	$91.79	$154.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,835.25 / $1,977.60 / $5,055.12	Facility		$1,835.25	$1,977.60	$5,055.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.49 / $2,551.77 / $4,904.35	Professional		$218.49	$2,551.77	$4,904.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,518.64 / $1,518.64 / $1,518.64	Professional		$1,518.64	$1,518.64	$1,518.64
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 $761.75 / $927.95 / $927.95	Facility		$761.75	$927.95	$927.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $1,857.77 / $2,528.98	Professional		$206.38	$1,857.77	$2,528.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,726.39	Professional		$1,438.66	$1,438.66	$1,726.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $59.38 / $59.38	Professional		$59.38	$59.38	$59.38