Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.14 / $191.14 / $191.14	Facility		$191.14	$191.14	$191.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $713.60 / $1,069.59	Professional		$43.20	$713.60	$1,069.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $153.56 / $297.08	Facility		$95.11	$153.56	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $52.08 / $52.08	Professional		$8.36	$52.08	$52.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.47 / $182.16	Facility		$53.70	$114.47	$182.16
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 $99.58 / $153.56 / $292.02	Facility		$99.58	$153.56	$292.02