Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $339.98	Facility		$9.60	$9.60	$339.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $22.86	Professional		$9.60	$9.60	$22.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $184.93 / $344.50	Facility		$140.97	$184.93	$344.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $75.00 / $146.97	Professional		$5.00	$75.00	$146.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $201.67 / $350.60	Facility		$81.53	$201.67	$350.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $42.54 / $42.54	Professional		$42.54	$42.54	$42.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $44.27 / $65.50	Professional		$26.20	$44.27	$65.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $152.00 / $79,999.20	Facility		$95.00	$152.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $181.67 / $340.63	Facility		$139.91	$181.67	$340.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $79.29 / $79.29	Professional		$31.58	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $37.25 / $37.25	Professional		$5.00	$37.25	$37.25