Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $132.77 / $132.77	Facility		$80.00	$132.77	$132.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $148.38	Professional		$80.00	$80.00	$148.38
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 $1.40 / $225.00 / $413.55	Professional		$1.40	$225.00	$413.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $333.21 / $476.01	Facility		$130.35	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $152.18 / $152.18	Professional		$152.18	$152.18	$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 $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $484.04 / $920.49	Facility		$313.88	$484.04	$920.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38