Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.10 / $883.74 / $1,184.22	Professional		$768.10	$883.74	$1,184.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $7,933.12 / $7,933.12	Facility		$150.10	$7,933.12	$7,933.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $846.26 / $1,726.50	Professional		$140.93	$846.26	$1,726.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $1,232.30 / $2,051.25	Professional		$131.19	$1,232.30	$2,051.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $171.42 / $171.42	Professional		$60.00	$171.42	$171.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.10 / $2,960.90 / $3,002.94	Facility		$2,465.10	$2,960.90	$3,002.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,465.10 / $2,960.90 / $3,002.94	Professional		$2,465.10	$2,960.90	$3,002.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $150.10 / $150.10	Facility		$150.10	$150.10	$150.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.85 / $1,422.90 / $3,018.46	Professional		$301.85	$1,422.90	$3,018.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $115.74 / $140.93	Professional		$115.74	$115.74	$140.93
United Facility/Professional Professional Modifier Low / Median / High Price $594.91 / $744.02 / $1,240.04	Professional		$594.91	$744.02	$1,240.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $918.49 / $918.49 / $918.49	Professional		$918.49	$918.49	$918.49