Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $550.04 / $866.97	Professional		$467.46	$550.04	$866.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,936.52 / $4,936.52	Facility		$100.00	$4,936.52	$4,936.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $610.83 / $1,155.10	Professional		$91.32	$610.83	$1,155.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $766.82 / $1,083.75	Professional		$75.52	$766.82	$1,083.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $110.01 / $110.01	Professional		$60.00	$110.01	$110.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,533.95 / $1,842.47 / $1,868.63	Facility		$1,533.95	$1,842.47	$1,868.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,533.95 / $1,842.47 / $1,868.63	Professional		$1,533.95	$1,842.47	$1,868.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $96.33 / $96.33	Facility		$96.33	$96.33	$96.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $913.16 / $1,235.45	Professional		$91.32	$913.16	$1,235.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $74.29 / $90.46	Professional		$74.29	$74.29	$90.46
United Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $462.96 / $771.60	Professional		$370.26	$462.96	$771.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.69 / $571.69 / $571.69	Professional		$571.69	$571.69	$571.69