Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $110.01 / $258.83	Facility		$110.01	$110.01	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $110.01 / $110.01	Professional		$107.42	$110.01	$110.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $154.53 / $333.93	Facility		$126.49	$154.53	$333.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $184.55	Professional		$129.41	$129.41	$184.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $112.16 / $280.39	Professional		$50.00	$112.16	$280.39
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 $126.49 / $151.79 / $277.32	Facility		$126.49	$151.79	$277.32
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41