Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.60 / $709.98 / $1,002.33	Professional		$603.60	$709.98	$1,002.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $6,372.01 / $6,372.01	Facility		$109.83	$6,372.01	$6,372.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $949.20 / $1,317.02	Professional		$771.09	$949.20	$1,317.02
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 / $125.43 / $125.43	Professional		$60.00	$125.43	$125.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,980.00 / $2,378.23 / $2,412.00	Facility		$1,980.00	$2,378.23	$2,412.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $2,378.23 / $2,412.00	Professional		$1,980.00	$2,378.23	$2,412.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $109.83 / $109.83	Facility		$109.83	$109.83	$109.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.17 / $1,134.21 / $1,253.59	Professional		$1,041.17	$1,134.21	$1,253.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $84.70 / $103.13	Professional		$84.70	$84.70	$103.13
United Facility/Professional Professional Modifier Low / Median / High Price $478.09 / $597.64 / $996.07	Professional		$478.09	$597.64	$996.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $738.01 / $738.01 / $738.01	Professional		$738.01	$738.01	$738.01