Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.80 / $406.80 / $406.80	Facility		$406.80	$406.80	$406.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $406.80 / $634.04	Professional		$373.75	$406.80	$634.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,879.83 / $3,879.83	Facility		$100.00	$3,879.83	$3,879.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $563.41 / $893.70	Professional		$92.11	$563.41	$893.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $356.59	Facility		$356.59	$356.59	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $303.10 / $356.59	Professional		$64.79	$303.10	$356.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $616.00 / $616.00	Professional		$504.00	$616.00	$616.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $857.99 / $1,136.84 / $1,384.89	Facility		$857.99	$1,136.84	$1,384.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,384.89 / $1,384.89	Professional		$1,136.84	$1,384.89	$1,384.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.39 / $71.39 / $71.39	Facility		$71.39	$71.39	$71.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $596.87 / $1,439.12	Professional		$59.69	$596.87	$1,439.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $75.65 / $92.11	Professional		$75.65	$75.65	$92.11
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $396.20 / $613.16	Professional		$367.90	$396.20	$613.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $853.46 / $853.46 / $853.46	Professional		$853.46	$853.46	$853.46