Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.26 / $1,640.12 / $1,640.12	Facility		$988.26	$1,640.12	$1,640.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $988.26 / $1,600.00	Professional		$900.00	$988.26	$1,600.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $484.04 / $936.42	Facility		$289.37	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $1,500.00 / $1,654.20	Professional		$386.40	$1,500.00	$1,654.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $333.21 / $476.01	Facility		$169.25	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $736.38 / $920.47	Professional		$152.18	$736.38	$920.47
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 $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
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 $1,560.00 / $1,560.00 / $1,560.00	Professional		$1,560.00	$1,560.00	$1,560.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,165.50	Professional		$900.00	$900.00	$1,165.50