Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $100.02 / $100.02	Facility		$20.48	$100.02	$100.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $100.02 / $100.02	Professional		$13.28	$100.02	$100.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $111.32 / $218.70	Facility		$91.13	$111.32	$218.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $23.10	Professional		$16.00	$16.00	$23.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $56.00	Facility		$14.00	$14.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $17.17	Professional		$14.00	$14.00	$17.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $144.68 / $146.72	Facility		$120.45	$144.68	$146.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $109.35 / $199.78	Facility		$91.13	$109.35	$199.78
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00