Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $125.20 / $170.91	Professional		$106.38	$125.20	$170.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,123.95 / $1,123.95	Facility		$100.00	$1,123.95	$1,123.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $165.21 / $256.20	Professional		$20.26	$165.21	$256.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $130.69 / $158.87	Professional		$18.59	$130.69	$158.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $24.40 / $60.00	Professional		$24.40	$24.40	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.25 / $419.49 / $425.45	Facility		$349.25	$419.49	$425.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $349.25 / $419.49 / $425.45	Professional		$349.25	$419.49	$425.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $21.37	Facility		$21.37	$21.37	$21.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $220.69 / $274.05	Professional		$20.26	$220.69	$274.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $20.07	Professional		$16.48	$16.48	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $105.46 / $175.76	Professional		$84.35	$105.46	$175.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $15.31 / $15.31	Professional		$15.31	$15.31	$15.31