Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $308.33 / $411.94 / $767.37	Facility		$308.33	$411.94	$767.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $182.00 / $222.00	Professional		$30.00	$182.00	$222.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.68 / $425.94 / $843.63	Facility		$144.68	$425.94	$843.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $7.61	Professional		$7.61	$7.61	$7.61
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 $211.00 / $339.00 / $79,999.20	Facility		$211.00	$339.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.98 / $396.65 / $758.75	Facility		$302.98	$396.65	$758.75
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $57.79 / $57.79	Professional		$30.00	$57.79	$57.79