Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $96.00	Facility		$40.79	$40.79	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $40.79 / $40.79	Professional		$39.84	$40.79	$40.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $15.44 / $46.64	Facility		$12.06	$15.44	$46.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $69.95	Professional		$48.00	$48.00	$69.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $169.60	Facility		$42.40	$42.40	$169.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $52.00	Professional		$42.40	$42.40	$52.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $19.16 / $19.43	Facility		$15.95	$19.16	$19.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $14.48 / $31.36	Facility		$12.06	$14.48	$31.36
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00