Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $171.96	Professional		$134.90	$171.96	$171.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $506.73 / $703.07 / $1,238.33	Facility		$506.73	$703.07	$1,238.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $511.12 / $652.41	Professional		$60.84	$511.12	$652.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $317.22 / $807.78 / $1,399.20	Facility		$317.22	$807.78	$1,399.20
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 $341.00 / $547.00 / $79,999.20	Facility		$341.00	$547.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $488.94 / $664.76 / $1,224.44	Facility		$488.94	$664.76	$1,224.44
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $47.23 / $296.88	Professional		$47.23	$47.23	$296.88