Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $235.95 / $456.47	Facility		$183.41	$235.95	$456.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $630.55	Professional		$31.94	$31.94	$630.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $234.86 / $402.36	Facility		$81.53	$234.86	$402.36
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 $126.00 / $201.00 / $79,999.20	Facility		$126.00	$201.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $235.95 / $451.35	Facility		$180.23	$235.95	$451.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94