Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $71.98 / $169.36	Facility		$71.98	$71.98	$169.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $71.98 / $71.98	Professional		$70.28	$71.98	$71.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $53.93 / $112.20	Facility		$37.45	$53.93	$112.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $84.68 / $99.41	Professional		$84.68	$84.68	$99.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $241.00	Facility		$60.25	$60.25	$241.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $73.89	Professional		$60.25	$60.25	$73.89
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 $38.13 / $44.94 / $89.88	Facility		$38.13	$44.94	$89.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56