Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.44 / $1,751.16 / $1,937.48	Facility		$1,167.44	$1,751.16	$1,937.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $1,068.05 / $2,103.44	Professional		$877.64	$1,068.05	$2,103.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $369.73 / $592.86 / $6,928.83	Facility		$369.73	$592.86	$6,928.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $505.17 / $1,414.64 / $2,224.23	Professional		$505.17	$1,414.64	$2,224.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $98.93 / $1,409.34	Facility		$48.33	$98.93	$1,409.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.91 / $1,302.19 / $2,274.61	Professional		$571.91	$1,302.19	$2,274.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,213.67 / $2,213.67	Facility		$675.00	$2,213.67	$2,213.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $353.19 / $493.26 / $936.42	Facility		$353.19	$493.26	$936.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $981.56 / $1,414.64 / $3,100.47	Professional		$981.56	$1,414.64	$3,100.47
United Facility/Professional Professional Modifier Low / Median / High Price $415.17 / $429.18 / $1,272.00	Professional		$415.17	$429.18	$1,272.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,295.00	Professional		$1,000.00	$1,000.00	$1,295.00