Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $279.14 / $418.73 / $675.54	Facility		$279.14	$418.73	$675.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $511.50 / $511.50 / $511.50	Professional		$511.50	$511.50	$511.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.34 / $641.34 / $641.34	Facility		$641.34	$641.34	$641.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $413.91 / $1,034.77	Professional		$50.00	$413.91	$1,034.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $341.30	Facility		$25.00	$25.00	$341.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.44 / $463.39 / $781.62	Facility		$248.44	$463.39	$781.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $255.14 / $334.98 / $621.53	Facility		$255.14	$334.98	$621.53
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $221.41 / $235.13	Professional		$195.94	$221.41	$235.13