Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $18.72 / $35.00	Facility		$18.72	$18.72	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.72 / $18.72	Professional		$14.53	$18.72	$18.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $21.84 / $45.05	Facility		$17.05	$21.84	$45.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $49.74	Professional		$17.50	$17.50	$49.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $120.60	Facility		$30.15	$30.15	$120.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $36.97	Professional		$30.15	$30.15	$36.97
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 Facility Modifier Low / Median / High Price $17.05 / $20.48 / $38.90	Facility		$17.05	$20.48	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50