Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $920.50 / $1,781.81	Facility		$160.01	$920.50	$1,781.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $630.55	Professional		$26.28	$26.28	$630.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $193.21 / $331.06	Facility		$67.08	$193.21	$331.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $100.00 / $100.00	Professional		$50.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $787.00 / $79,999.20	Facility		$491.00	$787.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $898.76 / $1,761.81	Facility		$160.01	$898.76	$1,761.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $26.28	Professional		$26.28	$26.28	$26.28