Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $877.55 / $1,206.08	Professional		$753.30	$877.55	$1,206.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $7,874.71 / $7,874.71	Facility		$153.69	$7,874.71	$7,874.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $1,052.21 / $1,842.86	Professional		$197.11	$1,052.21	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $1,728.75	Professional		$124.05	$1,223.23	$1,728.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $175.51 / $175.51	Professional		$60.00	$175.51	$175.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,446.94 / $2,939.10 / $2,980.83	Facility		$2,446.94	$2,939.10	$2,980.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,446.94 / $2,939.10 / $2,980.83	Professional		$2,446.94	$2,939.10	$2,980.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $153.69 / $153.69	Facility		$153.69	$153.69	$153.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.90 / $1,714.00 / $1,971.10	Professional		$1,456.90	$1,714.00	$1,971.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $118.52 / $144.31	Professional		$118.52	$118.52	$144.31
United Facility/Professional Professional Modifier Low / Median / High Price $590.83 / $738.61 / $1,231.02	Professional		$590.83	$738.61	$1,231.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.05 / $912.05 / $912.05	Professional		$912.05	$912.05	$912.05