Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.74 / $566.76 / $893.52	Professional		$481.74	$566.76	$893.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,087.00 / $5,087.00	Facility		$100.00	$5,087.00	$5,087.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $629.44 / $1,190.59	Professional		$94.12	$629.44	$1,190.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $363.97 / $428.20	Professional		$84.14	$363.97	$428.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $113.39 / $113.39	Professional		$60.00	$113.39	$113.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,580.70 / $1,898.62 / $1,925.58	Facility		$1,580.70	$1,898.62	$1,925.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,580.70 / $1,898.62 / $1,925.58	Professional		$1,580.70	$1,898.62	$1,925.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $99.28 / $99.28	Facility		$99.28	$99.28	$99.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $1,074.08 / $1,273.39	Professional		$94.12	$1,074.08	$1,273.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $76.56 / $93.22	Professional		$76.56	$76.56	$93.22
United Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $477.25 / $795.41	Professional		$381.70	$477.25	$795.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.17 / $589.17 / $589.17	Professional		$589.17	$589.17	$589.17