Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $689.70 / $1,599.82	Facility		$317.60	$689.70	$1,599.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $418.06 / $558.53 / $1,040.46	Facility		$418.06	$558.53	$1,040.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $209.30 / $518.44	Professional		$60.00	$209.30	$518.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.39 / $560.44 / $936.35	Facility		$192.39	$560.44	$936.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $63.05 / $63.05	Professional		$63.05	$63.05	$63.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $72.84 / $113.82	Professional		$45.53	$72.84	$113.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $459.00 / $79,999.20	Facility		$287.00	$459.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $410.80 / $548.07 / $1,028.78	Facility		$410.80	$548.07	$1,028.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $194.93 / $194.93	Professional		$194.93	$194.93	$194.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $89.51 / $89.51	Professional		$60.00	$89.51	$89.51