Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.66 / $590.66 / $1,234.86	Facility		$590.66	$590.66	$1,234.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $573.46 / $573.46	Professional		$573.46	$573.46	$573.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,131.90 / $1,131.90 / $3,773.67	Facility		$1,131.90	$1,131.90	$3,773.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,454.00 / $2,500.00	Professional		$1,300.00	$1,454.00	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.66 / $413.66 / $950.00	Professional		$413.66	$413.66	$950.00
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 $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.00 / $757.27 / $815.25	Professional		$712.00	$757.27	$815.25