Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $275.66	Professional		$64.00	$64.00	$275.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $248.13 / $462.23	Facility		$185.72	$248.13	$462.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.16 / $234.16 / $234.16	Facility		$234.16	$234.16	$234.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $241.46 / $541.59	Facility		$82.03	$241.46	$541.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $204.00 / $79,999.20	Facility		$114.84	$204.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.34 / $238.93 / $457.04	Facility		$174.34	$238.93	$457.04