Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $229.63	Facility		$229.63	$229.63	$229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $632.80 / $819.37 / $1,456.33	Facility		$632.80	$819.37	$1,456.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $108.91 / $523.53	Professional		$60.84	$108.91	$523.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $490.13 / $988.18 / $2,126.46	Facility		$490.13	$988.18	$2,126.46
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 $398.00 / $637.00 / $79,999.20	Facility		$398.00	$637.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $586.12 / $798.82 / $1,443.19	Facility		$586.12	$798.82	$1,443.19
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 $172.67 / $172.67 / $333.62	Professional		$172.67	$172.67	$333.62