Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.02 / $338.02 / $338.02	Facility		$338.02	$338.02	$338.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $338.02 / $386.17	Professional		$182.93	$338.02	$386.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $644.45 / $1,898.77	Facility		$405.72	$644.45	$1,898.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $344.86 / $396.21	Professional		$178.13	$344.86	$396.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $342.12 / $342.12 / $342.12	Professional		$342.12	$342.12	$342.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $396.21 / $79,999.20	Facility		$396.21	$396.21	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.26 / $617.87 / $1,004.04	Facility		$355.26	$617.87	$1,004.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $396.21 / $714.41	Professional		$396.21	$396.21	$714.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $503.48 / $604.16 / $1,147.92	Facility		$503.48	$604.16	$1,147.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.86 / $344.86 / $344.86	Professional		$344.86	$344.86	$344.86
United Facility/Professional Professional Modifier Low / Median / High Price $364.55 / $439.33 / $1,082.59	Professional		$364.55	$439.33	$1,082.59