Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $473.45 / $746.28	Professional		$473.40	$473.45	$746.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,248.00 / $4,248.00	Facility		$100.00	$4,248.00	$4,248.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $534.79 / $994.25	Professional		$78.59	$534.79	$994.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $659.87 / $1,068.75	Professional		$65.00	$659.87	$1,068.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $94.69 / $94.69	Professional		$60.00	$94.69	$94.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,585.49 / $1,608.00	Facility		$1,320.00	$1,585.49	$1,608.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,585.49 / $1,608.00	Professional		$1,320.00	$1,585.49	$1,608.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $82.92 / $82.92	Facility		$82.92	$82.92	$82.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $786.00 / $924.70	Professional		$78.59	$786.00	$924.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $63.95 / $77.87	Professional		$63.95	$63.95	$77.87
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $398.43 / $664.05	Professional		$318.80	$398.43	$664.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $492.08 / $492.08	Professional		$492.08	$492.08	$492.08