Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $127.65 / $300.36	Facility		$127.65	$127.65	$300.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $127.65 / $127.65	Professional		$124.65	$127.65	$127.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $93.02 / $201.04	Facility		$76.15	$93.02	$201.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $104.65 / $150.18	Professional		$104.65	$104.65	$150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $253.72	Facility		$63.43	$63.43	$253.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $77.79	Professional		$63.43	$63.43	$77.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $125.15 / $312.87	Professional		$50.00	$125.15	$312.87
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 $76.15 / $91.38 / $166.94	Facility		$76.15	$91.38	$166.94
United Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $150.18	Professional		$125.15	$125.15	$150.18