Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $711.36 / $1,032.39	Professional		$631.00	$711.36	$1,032.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $6,384.41 / $6,384.41	Facility		$124.61	$6,384.41	$6,384.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $926.44 / $1,494.25	Professional		$772.45	$926.44	$1,494.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $382.50 / $450.00	Professional		$105.60	$382.50	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $142.31 / $142.31	Professional		$60.00	$142.31	$142.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,983.85 / $2,382.86 / $2,416.69	Facility		$1,983.85	$2,382.86	$2,416.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,983.85 / $2,382.86 / $2,416.69	Professional		$1,983.85	$2,382.86	$2,416.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $124.61 / $124.61	Facility		$124.61	$124.61	$124.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.25 / $1,422.23 / $1,598.16	Professional		$1,181.25	$1,422.23	$1,598.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $96.08 / $116.99	Professional		$96.08	$96.08	$116.99
United Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $598.94 / $998.24	Professional		$478.91	$598.94	$998.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $739.30 / $739.30 / $739.30	Professional		$739.30	$739.30	$739.30