Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.98 / $440.98 / $1,037.59	Facility		$440.98	$440.98	$1,037.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $440.98 / $440.98	Professional		$415.04	$440.98	$440.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $313.20 / $1,731.60 / $1,731.60	Facility		$313.20	$1,731.60	$1,731.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,754.69 / $2,223.41	Professional		$1,754.69	$1,754.69	$2,223.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $419.98 / $839.96	Facility		$419.98	$419.98	$839.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $853.11 / $1,135.58 / $2,732.19	Facility		$853.11	$1,135.58	$2,732.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $233.73 / $257.10 / $743.81	Facility		$233.73	$257.10	$743.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $411.74 / $411.74	Professional		$411.74	$411.74	$411.74