Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.79 / $559.90 / $771.03	Professional		$559.79	$559.90	$771.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,025.03 / $5,025.03	Facility		$100.00	$5,025.03	$5,025.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $621.79 / $1,175.79	Professional		$92.96	$621.79	$1,175.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $584.72 / $687.90	Professional		$83.10	$584.72	$687.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $111.98 / $111.98	Professional		$60.00	$111.98	$111.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,561.45 / $1,875.50 / $1,902.13	Facility		$1,561.45	$1,875.50	$1,902.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,561.45 / $1,875.50 / $1,902.13	Professional		$1,561.45	$1,875.50	$1,902.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $98.06 / $98.06	Facility		$98.06	$98.06	$98.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $1,000.21 / $1,257.64	Professional		$92.96	$1,000.21	$1,257.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $75.62 / $92.07	Professional		$75.62	$75.62	$92.07
United Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $471.40 / $785.67	Professional		$377.00	$471.40	$785.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $582.00 / $582.00	Professional		$582.00	$582.00	$582.00