Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.49 / $185.14 / $185.14	Facility		$118.49	$185.14	$185.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $78.68 / $78.68	Professional		$76.83	$78.68	$78.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $134.22 / $134.22	Facility		$81.42	$134.22	$134.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $84.86 / $1,758.86	Professional		$80.23	$84.86	$1,758.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $89.84 / $107.63	Professional		$81.77	$89.84	$107.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $184.56	Facility		$81.77	$81.77	$184.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $151.27	Professional		$81.77	$81.77	$151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $26.10 / $75.00	Professional		$21.75	$26.10	$75.00
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 $81.42 / $81.77 / $89.95	Facility		$81.42	$81.77	$89.95
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $92.57	Professional		$92.57	$92.57	$92.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $80.23 / $80.23	Professional		$80.23	$80.23	$80.23