Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.08 / $1,715.08 / $2,257.44	Facility		$1,715.08	$1,715.08	$2,257.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $232.96 / $381.33	Professional		$231.05	$232.96	$381.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $727.12 / $727.12	Professional		$90.21	$727.12	$727.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.46 / $681.46 / $681.46	Professional		$681.46	$681.46	$681.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $233.55 / $679.03 / $1,318.32	Facility		$233.55	$679.03	$1,318.32
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 $445.00 / $713.00 / $79,999.20	Facility		$445.00	$713.00	$79,999.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97