Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $517.04 / $814.95	Professional		$482.22	$517.04	$814.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,640.93 / $4,640.93	Facility		$100.00	$4,640.93	$4,640.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $574.11 / $1,009.90	Professional		$85.84	$574.11	$1,009.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $422.72	Facility		$422.72	$422.72	$422.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $359.31 / $1,061.25	Professional		$76.73	$359.31	$1,061.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $103.41 / $103.41	Professional		$60.00	$103.41	$103.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,442.10 / $1,732.15 / $1,756.74	Facility		$1,442.10	$1,732.15	$1,756.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,442.10 / $1,732.15 / $1,756.74	Professional		$1,442.10	$1,732.15	$1,756.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.55 / $90.55 / $90.55	Facility		$90.55	$90.55	$90.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $858.42 / $979.60	Professional		$85.84	$858.42	$979.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $85.03	Professional		$69.83	$69.83	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $435.24 / $725.40	Professional		$348.00	$435.24	$725.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.36 / $537.36 / $537.36	Professional		$537.36	$537.36	$537.36