Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.34 / $842.34 / $842.34	Facility		$842.34	$842.34	$842.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $842.34 / $1,274.31	Professional		$699.65	$842.34	$1,274.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $8,531.40 / $8,531.40	Facility		$147.84	$8,531.40	$8,531.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $1,089.48 / $1,740.64	Professional		$175.83	$1,089.48	$1,740.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $840.84 / $989.22	Professional		$751.21	$840.84	$989.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $155.90 / $155.90	Professional		$60.00	$155.90	$155.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,992.10 / $2,651.00 / $3,184.19	Facility		$1,992.10	$2,651.00	$3,184.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,992.10 / $2,426.73 / $2,426.73	Professional		$1,992.10	$2,426.73	$2,426.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $147.84 / $147.84	Facility		$147.84	$147.84	$147.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.56 / $1,468.19 / $2,980.35	Professional		$1,286.56	$1,468.19	$2,980.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $144.41 / $175.83	Professional		$144.41	$144.41	$175.83
United Facility/Professional Professional Modifier Low / Median / High Price $719.90 / $784.30 / $1,307.17	Professional		$719.90	$784.30	$1,307.17