Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Facility		$23.15	$23.15	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.15 / $70.00	Professional		$5.00	$23.15	$70.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $17.51 / $36.29	Professional		$15.18	$17.51	$36.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $229.50	Facility		$99.00	$99.00	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51