Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $203.21 / $668.76	Facility		$80.59	$203.21	$668.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $173.34 / $335.35	Facility		$109.03	$173.34	$335.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.58 / $394.10	Professional		$25.50	$38.58	$394.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $119.32 / $150.47	Facility		$38.04	$119.32	$150.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $84.50	Professional		$40.00	$44.00	$84.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $148.00 / $79,999.20	Facility		$59.50	$148.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $173.24 / $329.64	Facility		$109.03	$173.24	$329.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $33.02	Professional		$25.50	$25.50	$33.02