Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.20 / $719.58 / $1,134.45	Professional		$647.20	$719.58	$1,134.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $6,458.74 / $6,458.74	Facility		$126.05	$6,458.74	$6,458.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $799.09 / $1,511.48	Professional		$781.38	$799.09	$1,511.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $170.00 / $200.00	Professional		$98.81	$170.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $143.94 / $143.94	Professional		$60.00	$143.94	$143.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,006.95 / $2,410.60 / $2,444.83	Facility		$2,006.95	$2,410.60	$2,444.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,006.95 / $2,410.60 / $2,444.83	Professional		$2,006.95	$2,410.60	$2,444.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $126.05 / $126.05	Facility		$126.05	$126.05	$126.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,194.93 / $1,285.71 / $2,534.87	Professional		$1,194.93	$1,285.71	$2,534.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $97.20 / $118.35	Professional		$97.20	$97.20	$118.35
United Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $605.87 / $1,009.79	Professional		$484.42	$605.87	$1,009.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $747.88 / $747.88	Professional		$747.88	$747.88	$747.88