Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $43.12	Professional		$3.44	$3.44	$43.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.80 / $228.15 / $425.00	Facility		$167.80	$228.15	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $193.44 / $193.44	Facility		$193.44	$193.44	$193.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $239.89 / $598.87	Facility		$70.95	$239.89	$598.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $188.00 / $79,999.20	Facility		$117.00	$188.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $219.56 / $420.23	Facility		$160.30	$219.56	$420.23
United Facility/Professional Facility Modifier Low / Median / High Price $226.76 / $295.89 / $465.01	Facility		$226.76	$295.89	$465.01