Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $294.07 / $402.85	Facility		$169.98	$294.07	$402.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $169.98 / $575.67	Professional		$89.16	$169.98	$575.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $196.48 / $1,184.14	Facility		$94.64	$196.48	$1,184.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $1,301.95 / $1,851.38	Professional		$150.28	$1,301.95	$1,851.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $349.76 / $505.81	Facility		$183.96	$349.76	$505.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $79.02 / $507.86	Facility		$40.36	$79.02	$507.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $75.92 / $574.52	Professional		$38.13	$75.92	$574.52
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 $255.67 / $406.99 / $426.12	Facility		$255.67	$406.99	$426.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $174.58 / $342.22	Facility		$89.82	$174.58	$342.22
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $245.16	Professional		$215.05	$215.05	$245.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00