Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $607.67 / $814.32	Professional		$516.65	$607.67	$814.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $5,455.13 / $5,455.13	Facility		$106.45	$5,455.13	$5,455.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $799.75 / $1,276.49	Professional		$660.00	$799.75	$1,276.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $634.72 / $746.73	Professional		$90.22	$634.72	$746.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $121.57 / $121.57	Professional		$60.00	$121.57	$121.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,695.10 / $2,036.03 / $2,064.94	Facility		$1,695.10	$2,036.03	$2,064.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,695.10 / $2,036.03 / $2,064.94	Professional		$1,695.10	$2,036.03	$2,064.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $106.45 / $106.45	Facility		$106.45	$106.45	$106.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.12 / $1,214.96 / $1,365.28	Professional		$1,009.12	$1,214.96	$1,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $82.09 / $99.95	Professional		$82.09	$82.09	$99.95
United Facility/Professional Professional Modifier Low / Median / High Price $409.27 / $511.68 / $852.80	Professional		$409.27	$511.68	$852.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $631.67 / $631.67 / $631.67	Professional		$631.67	$631.67	$631.67