Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.37 / $798.38 / $1,613.96	Facility		$798.37	$798.38	$1,613.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.06 / $798.38 / $798.38	Professional		$327.06	$798.38	$798.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.03 / $1,458.98 / $2,717.83	Facility		$1,092.03	$1,458.98	$2,717.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $595.07 / $1,402.56	Professional		$30.00	$595.07	$1,402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $496.91 / $1,438.52 / $2,519.25	Facility		$496.91	$1,438.52	$2,519.25
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 $749.00 / $1,200.00 / $79,999.20	Facility		$749.00	$1,200.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,073.08 / $1,431.63 / $2,687.32	Facility		$1,073.08	$1,431.63	$2,687.32
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 / $242.25 / $242.25	Professional		$30.00	$242.25	$242.25