Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Facility		$175.28	$175.28	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $175.28	Professional		$143.75	$175.28	$175.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $389.28 / $753.10	Facility		$302.58	$389.28	$753.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $171.00 / $327.70	Professional		$30.00	$171.00	$327.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $148.66 / $178.12	Professional		$141.65	$148.66	$178.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.07 / $387.70 / $633.54	Facility		$153.07	$387.70	$633.54
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 $50.00 / $100.00 / $100.00	Professional		$50.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $332.00 / $79,999.20	Facility		$207.00	$332.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.83 / $389.28 / $744.64	Facility		$290.83	$389.28	$744.64
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.98 / $58.98	Professional		$30.00	$58.98	$58.98