Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $569.76 / $782.55	Professional		$321.39	$569.76	$782.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,113.54 / $5,113.54	Facility		$100.00	$5,113.54	$5,113.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $752.54 / $1,196.69	Professional		$94.61	$752.54	$1,196.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $134.00 / $134.00	Professional		$113.90	$134.00	$134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $113.97 / $113.97	Professional		$60.00	$113.97	$113.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,588.95 / $1,908.53 / $1,935.63	Facility		$1,588.95	$1,908.53	$1,935.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,588.95 / $1,908.53 / $1,935.63	Professional		$1,588.95	$1,908.53	$1,935.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $99.80 / $99.80	Facility		$99.80	$99.80	$99.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $1,113.00 / $1,279.95	Professional		$94.61	$1,113.00	$1,279.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $76.95 / $93.71	Professional		$76.95	$76.95	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $383.54 / $479.63 / $799.38	Professional		$383.54	$479.63	$799.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.29 / $592.29 / $592.29	Professional		$592.29	$592.29	$592.29