Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $817.68 / $1,095.75	Professional		$695.04	$817.68	$1,095.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $7,340.19 / $7,340.19	Facility		$143.22	$7,340.19	$7,340.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $887.98 / $908.11 / $1,597.40	Professional		$887.98	$908.11	$1,597.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,140.20 / $1,897.50	Professional		$115.61	$1,140.20	$1,897.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $163.57 / $163.57	Professional		$60.00	$163.57	$163.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,280.85 / $2,739.59 / $2,778.49	Facility		$2,280.85	$2,739.59	$2,778.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,280.85 / $2,739.59 / $2,778.49	Professional		$2,280.85	$2,739.59	$2,778.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $143.22 / $143.22	Facility		$143.22	$143.22	$143.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $1,357.79 / $1,549.48	Professional		$154.94	$1,357.79	$1,549.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $134.50	Professional		$110.46	$110.46	$134.50
United Facility/Professional Professional Modifier Low / Median / High Price $550.59 / $688.37 / $1,147.29	Professional		$550.59	$688.37	$1,147.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $849.92 / $849.92 / $849.92	Professional		$849.92	$849.92	$849.92