Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.35 / $684.30 / $917.01	Professional		$659.35	$684.30	$917.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $6,143.69 / $6,143.69	Facility		$119.87	$6,143.69	$6,143.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $743.01 / $891.22 / $1,437.45	Professional		$743.01	$891.22	$1,437.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $714.80 / $840.94	Professional		$101.59	$714.80	$840.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $136.90 / $136.90	Professional		$60.00	$136.90	$136.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,909.05 / $2,293.01 / $2,325.57	Facility		$1,909.05	$2,293.01	$2,325.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,909.05 / $2,293.01 / $2,325.57	Professional		$1,909.05	$2,293.01	$2,325.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $119.87 / $119.87	Facility		$119.87	$119.87	$119.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $1,296.79 / $2,410.55	Professional		$241.06	$1,296.79	$2,410.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $92.42 / $112.53	Professional		$92.42	$92.42	$112.53
United Facility/Professional Professional Modifier Low / Median / High Price $460.53 / $575.99 / $959.98	Professional		$460.53	$575.99	$959.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.08 / $711.08 / $711.08	Professional		$711.08	$711.08	$711.08