Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $832.01	Facility		$80.61	$80.61	$832.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $80.61 / $91.98	Professional		$57.79	$80.61	$91.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $315.61 / $421.67 / $785.49	Facility		$315.61	$421.67	$785.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $299.70 / $650.00	Professional		$46.65	$299.70	$650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $401.41 / $717.35	Facility		$140.53	$401.41	$717.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $99.96 / $166.60	Professional		$66.64	$99.96	$166.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $347.00 / $79,999.20	Facility		$216.00	$347.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $413.76 / $776.67	Facility		$310.14	$413.76	$776.67
United Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $202.00 / $202.00	Professional		$93.09	$202.00	$202.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $67.12 / $139.76	Professional		$67.12	$67.12	$139.76