Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $220.53 / $220.53	Facility		$132.88	$220.53	$220.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $245.00	Professional		$132.88	$132.88	$245.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $168.65 / $297.08	Facility		$119.37	$168.65	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $226.95 / $275.70	Professional		$119.00	$226.95	$275.70
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 $67.08 / $67.08 / $152.18	Professional		$67.08	$67.08	$152.18
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 $117.30 / $156.49 / $292.02	Facility		$117.30	$156.49	$292.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25