Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.72 / $381.72 / $381.72	Facility		$381.72	$381.72	$381.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $381.72 / $589.23	Professional		$373.75	$381.72	$589.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,570.06 / $2,570.06	Facility		$100.00	$2,570.06	$2,570.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $487.37 / $807.66	Professional		$82.53	$487.37	$807.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $217.38 / $255.74	Professional		$62.91	$217.38	$255.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.47 / $69.47	Professional		$60.00	$69.47	$69.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $796.73 / $883.34 / $972.84	Facility		$796.73	$883.34	$972.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $798.60 / $959.22 / $972.84	Professional		$798.60	$959.22	$972.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $66.98 / $66.98	Facility		$66.98	$66.98	$66.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $573.33 / $683.30	Professional		$57.33	$573.33	$683.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $67.78 / $82.53	Professional		$67.78	$67.78	$82.53
United Facility/Professional Professional Modifier Low / Median / High Price $314.41 / $355.32 / $524.02	Professional		$314.41	$355.32	$524.02