Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.14 / $352.14 / $352.14	Facility		$352.14	$352.14	$352.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.90 / $352.14 / $553.23	Professional		$342.90	$352.14	$553.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,247.90 / $2,247.90	Facility		$100.00	$2,247.90	$2,247.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $484.26 / $751.06	Professional		$68.42	$484.26	$751.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $127.50 / $150.00	Professional		$60.41	$127.50	$150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $67.27 / $67.27	Professional		$60.00	$67.27	$67.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.85 / $772.62 / $850.90	Facility		$601.85	$772.62	$850.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $698.50 / $838.99 / $850.90	Professional		$698.50	$838.99	$850.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $630.46 / $751.06	Professional		$55.51	$630.46	$751.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $56.19 / $68.42	Professional		$56.19	$56.19	$68.42
United Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $300.20 / $458.34	Professional		$275.00	$300.20	$458.34