Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $937.80	Facility		$320.39	$320.39	$937.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $320.39 / $320.39	Professional		$253.18	$320.39	$320.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $393.81 / $516.62 / $962.37	Facility		$393.81	$516.62	$962.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $206.56 / $650.00	Professional		$60.84	$206.56	$650.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.68 / $581.83 / $1,040.45	Facility		$216.68	$581.83	$1,040.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $425.00 / $79,999.20	Facility		$265.00	$425.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $390.21 / $506.93 / $951.57	Facility		$390.21	$506.93	$951.57
United Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $222.20 / $222.20	Professional		$222.20	$222.20	$222.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $196.43	Professional		$84.85	$84.85	$196.43