Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $688.39 / $1,332.53	Facility		$218.10	$688.39	$1,332.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $67.80 / $336.41	Professional		$40.00	$67.80	$336.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $263.35 / $419.03	Facility		$125.40	$263.35	$419.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $588.00 / $79,999.20	Facility		$367.00	$588.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $672.14 / $1,317.57	Facility		$218.10	$672.14	$1,317.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Professional		$72.56	$72.56	$72.56