Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $197.48	Facility		$83.93	$83.93	$197.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $83.93 / $83.93	Professional		$78.98	$83.93	$83.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $223.88	Facility		$6.12	$6.12	$223.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $83.93 / $381.63	Professional		$56.94	$83.93	$381.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $87.05 / $104.30	Professional		$82.95	$87.05	$104.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.40 / $115.40 / $1,055.91	Facility		$115.40	$115.40	$1,055.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $104.13 / $104.13	Professional		$104.13	$104.13	$104.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $93.40 / $101.89	Professional		$50.00	$93.40	$101.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $98.74 / $98.74	Facility		$98.74	$98.74	$98.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $223.88	Facility		$6.12	$6.12	$223.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $98.74 / $118.49	Professional		$98.74	$98.74	$118.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $78.98	Professional		$78.98	$78.98	$78.98