Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.82 / $921.82 / $921.82	Professional		$921.82	$921.82	$921.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,337.70 / $1,337.70 / $4,459.81	Facility		$1,337.70	$1,337.70	$4,459.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.51 / $1,150.00 / $3,000.00	Professional		$1,071.51	$1,150.00	$3,000.00
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 $568.92 / $568.92 / $950.00	Professional		$568.92	$568.92	$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 $1,084.45 / $1,084.45 / $1,150.00	Professional		$1,084.45	$1,084.45	$1,150.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.51 / $1,071.51 / $3,000.00	Professional		$1,071.51	$1,071.51	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.00 / $894.95 / $963.48	Professional		$842.00	$894.95	$963.48