Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $551.34 / $738.81	Professional		$527.85	$551.34	$738.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,948.92 / $4,948.92	Facility		$100.00	$4,948.92	$4,948.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $702.43 / $1,162.21	Professional		$91.55	$702.43	$1,162.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $768.75 / $1,233.75	Professional		$75.70	$768.75	$1,233.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $110.30 / $110.30	Professional		$60.00	$110.30	$110.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,537.80 / $1,847.09 / $1,873.32	Facility		$1,537.80	$1,847.09	$1,873.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,537.80 / $1,847.09 / $1,873.32	Professional		$1,537.80	$1,847.09	$1,873.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $1,077.09 / $1,102.29	Professional		$91.55	$1,077.09	$1,102.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $74.48 / $90.69	Professional		$74.48	$74.48	$90.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.28 / $464.26 / $773.76	Professional		$371.28	$464.26	$773.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $573.20 / $573.20 / $573.20	Professional		$573.20	$573.20	$573.20