Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,905.09 / $2,587.25	Facility		$1,007.42	$1,905.09	$2,587.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $1,007.42 / $2,742.96	Professional		$983.72	$1,007.42	$2,742.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $1,046.93 / $5,234.64	Facility		$116.28	$1,046.93	$5,234.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,727.43	Professional		$1,185.20	$1,185.20	$1,727.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $3,345.36	Facility		$1,046.93	$1,046.93	$3,345.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,283.97	Professional		$1,046.93	$1,046.93	$1,283.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $2,973.28 / $79,999.20	Facility		$1,046.93	$2,973.28	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $1,046.75 / $2,031.04	Facility		$93.02	$1,046.75	$2,031.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Facility		$1,185.20	$1,185.20	$1,185.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20