Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.75 / $724.98 / $971.46	Professional		$662.75	$724.98	$971.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.99 / $6,508.31 / $6,508.31	Facility		$126.99	$6,508.31	$6,508.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $852.49 / $1,522.82	Professional		$694.20	$852.49	$1,522.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $999.36	Facility		$999.36	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $999.36	Professional		$849.46	$999.36	$999.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $145.03 / $145.03	Professional		$60.00	$145.03	$145.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,022.35 / $2,429.10 / $2,463.59	Facility		$2,022.35	$2,429.10	$2,463.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,022.35 / $2,429.10 / $2,463.59	Professional		$2,022.35	$2,429.10	$2,463.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.99 / $126.99 / $126.99	Facility		$126.99	$126.99	$126.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.85 / $1,311.38 / $2,553.73	Professional		$1,203.85	$1,311.38	$2,553.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $97.93 / $119.24	Professional		$97.93	$97.93	$119.24
United Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $610.41 / $1,017.37	Professional		$488.10	$610.41	$1,017.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.78 / $753.78 / $753.78	Professional		$753.78	$753.78	$753.78