Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $2,127.96 / $5,589.00	Facility		$690.18	$2,127.96	$5,589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $967.29	Professional		$690.18	$690.18	$967.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,527.81 / $2,000.16 / $3,869.52	Facility		$1,527.81	$2,000.16	$3,869.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $542.60 / $634.62 / $1,287.51	Professional		$542.60	$634.62	$1,287.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.32 / $1,890.32 / $3,262.25	Facility		$630.32	$1,890.32	$3,262.25
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 $1,066.00 / $1,708.00 / $79,999.20	Facility		$1,066.00	$1,708.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,527.81 / $2,000.16 / $3,826.07	Facility		$1,527.81	$2,000.16	$3,826.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.89 / $634.62 / $634.62	Professional		$602.89	$634.62	$634.62
United Facility/Professional Professional Modifier Low / Median / High Price $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $311.31 / $311.31	Professional		$30.00	$311.31	$311.31