Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.74 / $377.74 / $377.74	Facility		$377.74	$377.74	$377.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $366.74 / $366.74	Professional		$285.20	$366.74	$366.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $782.04 / $782.04 / $2,607.27	Facility		$782.04	$782.04	$2,607.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.00 / $1,200.00 / $1,413.00	Professional		$1,004.00	$1,200.00	$1,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $500.00 / $750.00	Professional		$237.28	$500.00	$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 / $1,300.00	Facility		$272.44	$272.44	$1,300.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,413.00 / $1,413.00 / $1,413.00	Professional		$1,413.00	$1,413.00	$1,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $523.21 / $563.26	Professional		$492.00	$523.21	$563.26