Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $188.70	Professional		$146.74	$146.74	$188.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $216.60 / $300.49 / $550.15	Facility		$216.60	$300.49	$550.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $377.50 / $650.00	Professional		$60.84	$377.50	$650.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $322.02 / $628.38	Facility		$157.38	$322.02	$628.38
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 $146.00 / $234.00 / $79,999.20	Facility		$146.00	$234.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $289.23 / $529.32	Facility		$214.62	$289.23	$529.32
United Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $157.38	Professional		$66.06	$66.06	$157.38