Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $620.86	Professional		$308.72	$308.72	$620.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $744.14 / $994.19 / $1,852.01	Facility		$744.14	$994.19	$1,852.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,536.70 / $1,584.00	Professional		$30.00	$1,536.70	$1,584.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $330.80 / $989.22 / $2,076.57	Facility		$330.80	$989.22	$2,076.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.59 / $516.59 / $516.59	Professional		$516.59	$516.59	$516.59
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 $510.00 / $818.00 / $79,999.20	Facility		$510.00	$818.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.23 / $994.19 / $1,831.22	Facility		$731.23	$994.19	$1,831.22
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $198.96 / $198.96	Professional		$30.00	$198.96	$198.96