Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $89.28	Professional		$88.00	$88.00	$89.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $221.53 / $301.20 / $561.08	Facility		$221.53	$301.20	$561.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.56 / $261.56 / $261.56	Facility		$261.56	$261.56	$261.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $268.74 / $801.63	Facility		$73.37	$268.74	$801.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.72 / $248.00 / $79,999.20	Facility		$102.72	$248.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.24 / $290.25 / $554.78	Facility		$217.24	$290.25	$554.78