Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,198.06 / $1,600.64 / $2,981.72	Facility		$1,198.06	$1,600.64	$2,981.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $472.22 / $650.00 / $1,781.31	Professional		$472.22	$650.00	$1,781.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $456.71 / $1,577.12 / $3,118.59	Facility		$456.71	$1,577.12	$3,118.59
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 $821.00 / $1,316.00 / $79,999.20	Facility		$821.00	$1,316.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,177.28 / $1,570.63 / $2,948.24	Facility		$1,177.28	$1,570.63	$2,948.24
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $277.06 / $456.71	Professional		$277.06	$277.06	$456.71