Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.15 / $897.60 / $1,202.84	Professional		$763.15	$897.60	$1,202.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.22 / $8,057.06 / $8,057.06	Facility		$157.22	$8,057.06	$8,057.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $974.83 / $1,052.21 / $1,885.38	Professional		$974.83	$1,052.21	$1,885.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $860.04	Professional		$731.03	$860.04	$860.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $179.56 / $179.56	Professional		$60.00	$179.56	$179.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,503.60 / $3,007.14 / $3,049.84	Facility		$2,503.60	$3,007.14	$3,049.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,503.60 / $3,007.14 / $3,049.84	Professional		$2,503.60	$3,007.14	$3,049.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.22 / $157.22 / $157.22	Facility		$157.22	$157.22	$157.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $1,490.48 / $1,794.56	Professional		$316.18	$1,490.48	$1,794.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $121.25 / $147.63	Professional		$121.25	$121.25	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $604.29 / $755.72 / $1,259.53	Professional		$604.29	$755.72	$1,259.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.97 / $932.97 / $932.97	Professional		$932.97	$932.97	$932.97