Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $331.95 / $523.16	Professional		$288.77	$331.95	$523.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,978.91 / $2,978.91	Facility		$100.00	$2,978.91	$2,978.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $360.42 / $635.65	Professional		$47.95	$360.42	$635.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $346.64 / $407.81	Professional		$49.27	$346.64	$407.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $60.00	Professional		$57.76	$57.76	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.65 / $1,111.82 / $1,127.60	Facility		$925.65	$1,111.82	$1,127.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $925.65 / $1,111.82 / $1,127.60	Professional		$925.65	$1,111.82	$1,127.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $50.58	Facility		$50.58	$50.58	$50.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $47.95 / $547.17	Professional		$47.95	$47.95	$547.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $47.49	Professional		$39.00	$39.00	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $279.33 / $465.56	Professional		$223.42	$279.33	$465.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.86 / $344.86 / $344.86	Professional		$344.86	$344.86	$344.86