Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $12.51 / $12.51	Facility		$7.54	$12.51	$12.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.42 / $17.78	Professional		$7.54	$9.42	$17.78
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 $150.00 / $226.95 / $280.13	Professional		$150.00	$226.95	$280.13
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 / $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 $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25