Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $351.95 / $825.93	Facility		$36.10	$351.95	$825.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $81.19	Professional		$36.11	$36.11	$81.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $237.83 / $460.10	Facility		$181.66	$237.83	$460.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $59.29 / $117.55	Professional		$30.00	$59.29	$117.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $253.16 / $402.82	Facility		$84.40	$253.16	$402.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Professional		$55.46	$55.46	$55.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $76.51 / $119.55	Professional		$47.82	$76.51	$119.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $203.00 / $79,999.20	Facility		$127.00	$203.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $237.83 / $454.93	Facility		$181.66	$237.83	$454.93
United Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $67.43 / $72.22	Facility		$67.43	$67.43	$72.22
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $35.94 / $35.94	Professional		$30.00	$35.94	$35.94