Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $436.62 / $585.09	Professional		$246.26	$436.62	$585.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,918.77 / $3,918.77	Facility		$100.00	$3,918.77	$3,918.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $562.33 / $917.07	Professional		$72.50	$562.33	$917.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $197.30 / $232.12	Professional		$64.81	$197.30	$232.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $87.34 / $87.34	Professional		$60.00	$87.34	$87.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,217.70 / $1,462.61 / $1,483.38	Facility		$1,217.70	$1,462.61	$1,483.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,217.70 / $1,462.61 / $1,483.38	Professional		$1,217.70	$1,462.61	$1,483.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Facility		$76.48	$76.48	$76.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $724.97 / $980.83	Professional		$72.50	$724.97	$980.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $71.80	Professional		$58.97	$58.97	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $367.46 / $612.44	Professional		$293.88	$367.46	$612.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.63 / $457.63 / $457.63	Professional		$457.63	$457.63	$457.63