Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.28 / $765.06 / $1,025.19	Professional		$650.28	$765.06	$1,025.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $6,867.59 / $6,867.59	Facility		$134.01	$6,867.59	$6,867.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $1,010.59 / $1,529.54	Professional		$830.84	$1,010.59	$1,529.54
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 $113.58 / $398.65 / $469.00	Professional		$113.58	$398.65	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $153.05 / $153.05	Professional		$60.00	$153.05	$153.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $2,563.21 / $2,599.60	Facility		$2,134.00	$2,563.21	$2,599.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,134.00 / $2,563.21 / $2,599.60	Professional		$2,134.00	$2,563.21	$2,599.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $134.01 / $134.01	Facility		$134.01	$134.01	$134.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.41 / $1,366.90 / $1,529.54	Professional		$1,270.41	$1,366.90	$1,529.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $103.34 / $125.83	Professional		$103.34	$103.34	$125.83
United Facility/Professional Professional Modifier Low / Median / High Price $557.98 / $644.20 / $1,073.67	Professional		$557.98	$644.20	$1,073.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $795.20 / $795.20 / $795.20	Professional		$795.20	$795.20	$795.20