Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $99.72	Facility		$42.38	$42.38	$99.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $42.38 / $42.38	Professional		$41.38	$42.38	$42.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.05 / $1,429.37 / $2,808.12	Facility		$1,170.05	$1,429.37	$2,808.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $69.76	Professional		$49.86	$49.86	$69.76
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 $1,170.05 / $1,404.06 / $2,565.19	Facility		$1,170.05	$1,404.06	$2,565.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.51 / $2,137.51 / $2,137.51	Facility		$2,137.51	$2,137.51	$2,137.51
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28