Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $376.39	Professional		$65.91	$65.91	$376.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,510.55 / $1,510.55 / $1,510.55	Facility		$1,510.55	$1,510.55	$1,510.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $264.38 / $450.00	Professional		$25.00	$264.38	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.41 / $253.41 / $253.41	Professional		$253.41	$253.41	$253.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.52 / $468.95 / $3,041.55	Facility		$371.52	$468.95	$3,041.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $79,999.20 / $79,999.20	Facility		$669.00	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $984.57 / $984.57 / $1,510.55	Facility		$984.57	$984.57	$1,510.55