Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $256.80 / $256.80	Facility		$256.80	$256.80	$256.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $256.80 / $419.31	Professional		$196.39	$256.80	$419.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $100.00 / $498.50	Facility		$17.05	$100.00	$498.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $356.44 / $609.00	Professional		$49.35	$356.44	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $44.14 / $745.31	Professional		$40.57	$44.14	$745.31
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 $45.07 / $45.07 / $45.07	Facility		$45.07	$45.07	$45.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $406.73 / $550.28	Professional		$40.67	$406.73	$550.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $49.35	Professional		$40.53	$40.53	$49.35
United Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $38.29 / $254.93	Professional		$25.54	$38.29	$254.93