Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $545.47 / $677.88	Professional		$417.42	$545.47	$677.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.06 / $4,338.29 / $4,338.29	Facility		$1,110.06	$4,338.29	$4,338.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $911.51 / $1,140.00	Professional		$486.00	$911.51	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $847.50	Professional		$305.64	$359.59	$847.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.05 / $1,619.18 / $1,642.17	Facility		$1,348.05	$1,619.18	$1,642.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,348.05 / $1,619.18 / $1,642.17	Professional		$1,348.05	$1,619.18	$1,642.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,223.82 / $1,223.82 / $1,223.82	Facility		$1,223.82	$1,223.82	$1,223.82
United Facility/Professional Professional Modifier Low / Median / High Price $500.56 / $530.74 / $884.56	Professional		$500.56	$530.74	$884.56