Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $130.08 / $245.40	Facility		$104.30	$130.08	$245.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $104.30 / $122.21	Professional		$101.84	$104.30	$122.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $541.95 / $541.95	Facility		$379.37	$541.95	$541.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $178.84 / $178.84	Professional		$178.84	$178.84	$178.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $433.56	Facility		$108.39	$108.39	$433.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $132.93	Professional		$108.39	$108.39	$132.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $54.17 / $54.94	Facility		$45.10	$54.17	$54.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.89 / $269.89 / $269.89	Facility		$269.89	$269.89	$269.89
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70