Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.28 / $624.04 / $983.52	Professional		$530.28	$624.04	$983.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,600.27 / $5,600.27	Facility		$100.00	$5,600.27	$5,600.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $690.65 / $1,194.98	Professional		$88.06	$690.65	$1,194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $651.64 / $1,230.00	Professional		$92.61	$651.64	$1,230.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $106.09 / $106.09	Professional		$60.00	$106.09	$106.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,740.20 / $2,090.19 / $2,119.88	Facility		$1,740.20	$2,090.19	$2,119.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,740.20 / $2,090.19 / $2,119.88	Professional		$1,740.20	$2,090.19	$2,119.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $92.89 / $92.89	Facility		$92.89	$92.89	$92.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $1,060.19 / $1,191.40	Professional		$88.06	$1,060.19	$1,191.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $71.64 / $87.23	Professional		$71.64	$71.64	$87.23
United Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $525.10 / $875.17	Professional		$420.09	$525.10	$875.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $648.41 / $648.41 / $648.41	Professional		$648.41	$648.41	$648.41