Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.68 / $880.44 / $1,179.81	Professional		$496.68	$880.44	$1,179.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $7,903.07 / $7,903.07	Facility		$152.00	$7,903.07	$7,903.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $956.33 / $1,720.00	Professional		$142.71	$956.33	$1,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $398.65 / $1,758.75	Professional		$130.69	$398.65	$1,758.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $133.06 / $146.36	Professional		$106.44	$133.06	$146.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,455.75 / $2,949.67 / $2,991.55	Facility		$2,455.75	$2,949.67	$2,991.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,455.75 / $2,949.67 / $2,991.55	Professional		$2,455.75	$2,949.67	$2,991.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $1,440.92 / $3,056.57	Professional		$305.66	$1,440.92	$3,056.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $117.21 / $142.71	Professional		$117.21	$117.21	$142.71
United Facility/Professional Professional Modifier Low / Median / High Price $592.87 / $741.21 / $1,235.34	Professional		$592.87	$741.21	$1,235.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $915.27 / $915.27 / $915.27	Professional		$915.27	$915.27	$915.27