Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $79.69 / $187.50	Facility		$79.69	$79.69	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $79.69 / $79.69	Professional		$77.81	$79.69	$79.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $117.17 / $236.33	Facility		$91.54	$117.17	$236.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $93.75 / $131.16	Professional		$93.75	$93.75	$131.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $318.00	Facility		$79.50	$79.50	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $97.50	Professional		$79.50	$79.50	$97.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.63 / $201.57	Professional		$50.00	$80.63	$201.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $145.34 / $147.40	Facility		$121.00	$145.34	$147.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $109.85 / $208.71	Facility		$91.54	$109.85	$208.71
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69