Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $222.30 / $452.41	Facility		$114.73	$222.30	$452.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $114.73 / $114.73	Professional		$56.38	$114.73	$114.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.78 / $219.83 / $417.58	Facility		$167.78	$219.83	$417.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $53.32 / $204.09	Professional		$30.00	$53.32	$204.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $225.70 / $372.89	Facility		$72.64	$225.70	$372.89
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 $115.00 / $184.00 / $79,999.20	Facility		$115.00	$184.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $219.83 / $412.89	Facility		$164.87	$219.83	$412.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.77 / $32.77	Professional		$30.00	$32.77	$32.77