Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.74 / $772.74 / $772.74	Facility		$772.74	$772.74	$772.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $146.58 / $335.77	Professional		$33.00	$146.58	$335.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,094.40 / $3,094.40 / $3,094.40	Facility		$3,094.40	$3,094.40	$3,094.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,720.00 / $3,115.19	Professional		$40.00	$2,720.00	$3,115.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.69 / $525.05 / $933.46	Facility		$242.69	$525.05	$933.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $84.50	Professional		$40.00	$44.00	$84.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Professional		$2,800.00	$2,800.00	$2,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $749.00 / $749.00	Professional		$749.00	$749.00	$749.00