Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $200.80 / $207.08	Facility		$125.50	$200.80	$207.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $153.71	Professional		$125.50	$125.50	$153.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $372.72 / $532.45	Facility		$117.14	$372.72	$532.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $222.75	Professional		$147.65	$147.65	$222.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $551.79	Facility		$137.94	$137.94	$551.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $116.30 / $290.75	Professional		$50.00	$116.30	$290.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $169.78 / $172.19	Facility		$127.64	$169.78	$172.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $106.49 / $117.14	Facility		$106.49	$106.49	$117.14
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $166.84 / $177.18	Professional		$147.65	$166.84	$177.18