Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $76.16 / $142.80	Facility		$59.50	$76.16	$142.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $82.50	Professional		$50.47	$50.47	$82.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $188.44	Facility		$47.11	$47.11	$188.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $42.39 / $105.97	Professional		$42.39	$42.39	$105.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $94.47 / $95.81	Facility		$51.97	$94.47	$95.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $71.40 / $135.66	Facility		$59.50	$71.40	$135.66
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $57.03 / $60.56	Professional		$50.47	$57.03	$60.56