Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.12 / $685.30 / $1,080.18	Professional		$672.12	$685.30	$1,080.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $6,150.76 / $6,150.76	Facility		$120.02	$6,150.76	$6,150.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $761.00 / $1,439.13	Professional		$744.13	$761.00	$1,439.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $305.64 / $1,350.00	Professional		$101.71	$305.64	$1,350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $137.06 / $137.06	Professional		$60.00	$137.06	$137.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,911.25 / $2,295.65 / $2,328.25	Facility		$1,911.25	$2,295.65	$2,328.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,911.25 / $2,295.65 / $2,328.25	Professional		$1,911.25	$2,295.65	$2,328.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $120.02 / $120.02	Facility		$120.02	$120.02	$120.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.35 / $1,338.50 / $1,539.27	Professional		$241.35	$1,338.50	$1,539.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $92.56 / $112.70	Professional		$92.56	$92.56	$112.70
United Facility/Professional Professional Modifier Low / Median / High Price $499.79 / $576.86 / $961.43	Professional		$499.79	$576.86	$961.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $712.26 / $712.26 / $712.26	Professional		$712.26	$712.26	$712.26