Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $442.20 / $549.54	Professional		$338.39	$442.20	$549.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $992.13 / $3,516.99 / $3,516.99	Facility		$992.13	$3,516.99	$3,516.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $611.08 / $700.00	Professional		$82.72	$611.08	$700.00
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 $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.84 / $1,312.65 / $1,331.29	Facility		$1,092.84	$1,312.65	$1,331.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,312.65 / $1,331.29	Professional		$1,092.84	$1,312.65	$1,331.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $82.72 / $82.72	Professional		$82.72	$82.72	$82.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $992.13 / $992.13 / $992.13	Facility		$992.13	$992.13	$992.13
United Facility/Professional Professional Modifier Low / Median / High Price $405.80 / $430.26 / $717.10	Professional		$405.80	$430.26	$717.10