Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.43 / $523.49 / $523.49	Facility		$315.43	$523.49	$523.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $455.00 / $500.50	Professional		$315.43	$455.00	$500.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $153.56 / $297.08	Facility		$105.39	$153.56	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $77.81 / $130.19	Professional		$17.30	$77.81	$130.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $105.71 / $151.02	Facility		$53.70	$105.71	$151.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.10 / $98.40	Professional		$2.48	$3.10	$98.40
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 $82.00 / $131.00 / $238.03	Facility		$82.00	$131.00	$238.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $153.56 / $292.02	Facility		$99.58	$153.56	$292.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $54.83	Professional		$42.34	$42.34	$54.83