Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.35 / $359.35 / $359.35	Facility		$359.35	$359.35	$359.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.33 / $348.89 / $348.89	Professional		$271.33	$348.89	$348.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $493.92 / $493.92 / $1,646.70	Facility		$493.92	$493.92	$1,646.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $761.79 / $850.00	Professional		$634.00	$761.79	$850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.73 / $225.73 / $750.00	Professional		$225.73	$225.73	$750.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $272.44 / $79,999.20	Facility		$272.44	$272.44	$79,999.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.98 / $834.13 / $850.00	Professional		$805.98	$834.13	$850.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $638.00 / $761.79	Professional		$638.00	$638.00	$761.79
United Facility/Professional Professional Modifier Low / Median / High Price $322.44 / $330.44 / $355.74	Professional		$322.44	$330.44	$355.74