Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $162.91 / $492.02	Facility		$162.91	$162.91	$492.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $162.91 / $162.91	Professional		$61.27	$162.91	$162.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $214.74 / $1,894.20 / $3,219.32	Facility		$214.74	$1,894.20	$3,219.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $140.40 / $262.08	Professional		$59.33	$140.40	$262.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $10.45 / $217.89	Facility		$5.92	$10.45	$217.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $131.47 / $188.08	Professional		$74.97	$131.47	$188.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $84.50	Professional		$40.00	$40.00	$84.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $200.83 / $797.37	Facility		$95.45	$200.83	$797.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,472.88 / $2,435.42 / $4,634.07	Facility		$1,472.88	$2,435.42	$4,634.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $188.96 / $362.87	Professional		$89.02	$188.96	$362.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,184.23 / $2,819.02 / $4,581.93	Facility		$2,184.23	$2,819.02	$4,581.93
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $61.24 / $153.33	Professional		$43.19	$61.24	$153.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $76.83	Professional		$6.72	$6.72	$76.83