Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.32 / $640.32 / $640.32	Facility		$640.32	$640.32	$640.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.66 / $726.41 / $1,005.44	Professional		$505.66	$726.41	$1,005.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.28 / $199.28	Facility		$100.00	$199.28	$199.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $700.20 / $1,819.86	Professional		$93.86	$700.20	$1,819.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $83.43 / $5,177.79	Professional		$71.76	$83.43	$5,177.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $75.00	Professional		$60.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $112.33 / $112.33	Facility		$112.33	$112.33	$112.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $102.81 / $1,028.09	Professional		$75.98	$102.81	$1,028.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $153.78 / $187.24	Professional		$153.78	$153.78	$187.24
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $79.23 / $122.34	Professional		$60.85	$79.23	$122.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $700.20	Professional		$700.20	$700.20	$700.20