Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $966.09 / $1,465.44 / $2,835.05	Facility		$966.09	$1,465.44	$2,835.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $650.00 / $1,275.34	Professional		$60.84	$650.00	$1,275.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.06 / $1,045.33 / $1,856.17	Facility		$266.06	$1,045.33	$1,856.17
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 $781.00 / $1,251.00 / $79,999.20	Facility		$781.00	$1,251.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $1,432.92 / $2,803.22	Facility		$949.55	$1,432.92	$2,803.22
United Facility/Professional Professional Modifier Low / Median / High Price $747.40 / $747.40 / $747.40	Professional		$747.40	$747.40	$747.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $266.06 / $266.06	Professional		$266.06	$266.06	$266.06