Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.96 / $444.96 / $444.96	Facility		$444.96	$444.96	$444.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $444.96 / $679.50	Professional		$373.75	$444.96	$679.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,720.55 / $3,720.55	Facility		$100.00	$3,720.55	$3,720.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $560.19 / $1,003.32	Professional		$116.32	$560.19	$1,003.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $577.92 / $866.25	Professional		$59.64	$577.92	$866.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $72.69 / $72.69	Professional		$60.00	$72.69	$72.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $1,278.77 / $1,408.34	Facility		$1,123.00	$1,278.77	$1,408.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,156.09 / $1,388.62 / $1,408.34	Professional		$1,156.09	$1,388.62	$1,408.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $599.92 / $1,573.43	Professional		$59.99	$599.92	$1,573.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $95.53 / $116.32	Professional		$95.53	$95.53	$116.32
United Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $511.57 / $730.81	Professional		$438.49	$511.57	$730.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $915.91 / $915.91 / $915.91	Professional		$915.91	$915.91	$915.91