Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Facility		$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $783.81 / $1,013.65 / $1,790.16	Facility		$783.81	$1,013.65	$1,790.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $653.74 / $1,001.00	Professional		$60.00	$653.74	$1,001.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.83 / $1,223.99 / $1,947.55	Facility		$445.83	$1,223.99	$1,947.55
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 $493.00 / $790.00 / $79,999.20	Facility		$493.00	$790.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $727.03 / $989.44 / $1,770.06	Facility		$727.03	$989.44	$1,770.06
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $699.93 / $699.93	Professional		$197.62	$699.93	$699.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00