Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $2,000.00	Facility		$850.00	$850.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $850.00 / $850.00	Professional		$830.00	$850.00	$850.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Facility		$93.50	$93.50	$93.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $349.80 / $1,000.00	Professional		$349.80	$349.80	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $424.00	Facility		$212.00	$212.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $260.00	Professional		$212.00	$212.00	$260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $212.00 / $530.00	Professional		$50.00	$212.00	$530.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $79,999.20	Facility		$212.00	$212.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $93.50	Facility		$85.00	$85.00	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00