Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $180.72 / $425.22	Facility		$180.72	$180.72	$425.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $180.72 / $180.72	Professional		$176.47	$180.72	$180.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $6.67	Facility		$6.67	$6.67	$6.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $212.61 / $297.49	Professional		$212.61	$212.61	$297.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $80.30	Professional		$32.11	$32.11	$80.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $180.30 / $79,999.20	Facility		$180.30	$180.30	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.06 / $6.67	Facility		$6.06	$6.06	$6.67
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $180.30	Professional		$180.30	$180.30	$180.30