Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $1,232.50	Facility		$16.29	$16.29	$1,232.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $307.51	Professional		$16.29	$16.29	$307.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $481.28 / $644.59 / $1,247.03	Facility		$481.28	$644.59	$1,247.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $171.60 / $463.81	Professional		$45.10	$171.60	$463.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.87 / $581.14 / $1,103.29	Facility		$172.87	$581.14	$1,103.29
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 $344.00 / $550.00 / $79,999.20	Facility		$344.00	$550.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $469.78 / $644.59 / $1,233.03	Facility		$469.78	$644.59	$1,233.03
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $89.54 / $89.54	Professional		$60.00	$89.54	$89.54