Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.24 / $386.24 / $386.24	Facility		$386.24	$386.24	$386.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $386.24 / $441.26	Professional		$209.04	$386.24	$441.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $736.59 / $2,169.65	Facility		$463.60	$736.59	$2,169.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $394.06 / $452.73	Professional		$203.55	$394.06	$452.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $390.92 / $390.92	Professional		$390.92	$390.92	$390.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $452.73 / $452.73 / $79,999.20	Facility		$452.73	$452.73	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.94 / $706.02 / $1,147.28	Facility		$405.94	$706.02	$1,147.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.73 / $452.73 / $816.33	Professional		$452.73	$452.73	$816.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.46 / $690.56 / $1,312.05	Facility		$575.46	$690.56	$1,312.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.06 / $394.06 / $394.06	Professional		$394.06	$394.06	$394.06
United Facility/Professional Professional Modifier Low / Median / High Price $416.55 / $502.00 / $1,140.94	Professional		$416.55	$502.00	$1,140.94