Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $327.00 / $9,586.51	Facility		$44.59	$327.00	$9,586.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $60.24	Professional		$44.59	$44.59	$60.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.73 / $1,820.24 / $3,521.45	Facility		$1,281.73	$1,820.24	$3,521.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $81.67 / $187.95	Professional		$49.59	$81.67	$187.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $343.67 / $343.67	Professional		$343.67	$343.67	$343.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $533.27 / $1,491.35 / $2,583.23	Facility		$533.27	$1,491.35	$2,583.23
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 $970.00 / $1,554.00 / $79,999.20	Facility		$970.00	$1,554.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,180.34 / $1,779.85 / $3,481.92	Facility		$1,180.34	$1,779.85	$3,481.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00