Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $453.82 / $453.82	Facility		$273.45	$453.82	$453.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $237.60 / $453.82	Professional		$216.00	$237.60	$453.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $369.73 / $551.27 / $1,070.47	Facility		$369.73	$551.27	$1,070.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $225.00 / $413.55	Professional		$40.44	$225.00	$413.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $360.82 / $486.87	Facility		$169.25	$360.82	$486.87
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 / $1,147.18	Facility		$258.00	$413.00	$1,147.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $369.73 / $522.04 / $944.95	Facility		$369.73	$522.04	$944.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38