Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $718.37 / $2,161.06	Facility		$293.39	$718.37	$2,161.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $293.39 / $368.71	Professional		$188.23	$293.39	$368.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $583.73 / $779.89 / $1,452.80	Facility		$583.73	$779.89	$1,452.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $344.39 / $652.59	Professional		$60.00	$344.39	$652.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $767.51 / $1,341.78	Facility		$266.02	$767.51	$1,341.78
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 $400.00 / $641.00 / $79,999.20	Facility		$400.00	$641.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $573.61 / $765.27 / $1,436.48	Facility		$573.61	$765.27	$1,436.48
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $242.40 / $242.40	Professional		$242.40	$242.40	$242.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $117.55 / $194.12	Professional		$117.55	$117.55	$194.12