Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $498.12 / $1,337.13	Facility		$5.80	$498.12	$1,337.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $390.25	Professional		$5.81	$5.81	$390.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.97 / $1,195.97 / $1,195.97	Facility		$1,195.97	$1,195.97	$1,195.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $96.80 / $1,085.96	Professional		$11.96	$96.80	$1,085.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $171.28 / $171.28	Professional		$171.28	$171.28	$171.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $668.91 / $1,715.58 / $2,784.45	Facility		$668.91	$1,715.58	$2,784.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $1,691.00 / $79,999.20	Facility		$1,055.00	$1,691.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.97 / $1,195.97 / $1,980.32	Facility		$1,195.97	$1,195.97	$1,980.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07