Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.20 / $746.43 / $927.63	Professional		$571.20	$746.43	$927.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.69 / $5,936.57 / $5,936.57	Facility		$1,674.69	$5,936.57	$5,936.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $676.70 / $1,051.20	Professional		$127.65	$676.70	$1,051.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $306.77 / $360.90	Professional		$37.36	$306.77	$360.90
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 $1,844.70 / $2,215.71 / $2,247.17	Facility		$1,844.70	$2,215.71	$2,247.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,844.70 / $2,215.71 / $2,247.17	Professional		$1,844.70	$2,215.71	$2,247.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.69 / $1,674.69 / $1,674.69	Facility		$1,674.69	$1,674.69	$1,674.69
United Facility/Professional Professional Modifier Low / Median / High Price $684.97 / $726.27 / $1,210.45	Professional		$684.97	$726.27	$1,210.45