Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $287.08 / $356.78	Professional		$187.90	$287.08	$356.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $644.12 / $2,283.28 / $2,283.28	Facility		$644.12	$2,283.28	$2,283.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $416.80 / $533.50	Professional		$232.20	$416.80	$533.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $491.25	Professional		$354.68	$354.68	$491.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $709.50 / $852.20 / $864.30	Facility		$709.50	$852.20	$864.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $709.50 / $852.20 / $864.30	Professional		$709.50	$852.20	$864.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Professional		$58.95	$58.95	$58.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $644.12 / $644.12 / $644.12	Facility		$644.12	$644.12	$644.12
United Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $279.33 / $465.56	Professional		$277.13	$279.33	$465.56