Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Facility		$80.06	$80.06	$80.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $213.60 / $397.90	Facility		$159.87	$213.60	$397.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $151.00 / $151.00	Professional		$30.00	$151.00	$151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Professional		$140.25	$140.25	$140.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $204.08 / $324.73	Facility		$67.08	$204.08	$324.73
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 $110.00 / $176.00 / $79,999.20	Facility		$110.00	$176.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $205.67 / $393.43	Facility		$157.02	$205.67	$393.43
United Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $117.84 / $126.21	Facility		$117.84	$117.84	$126.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.47 / $33.47	Professional		$30.00	$33.47	$33.47