Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $916.95 / $1,445.22	Professional		$779.22	$916.95	$1,445.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $8,228.75 / $8,228.75	Facility		$158.83	$8,228.75	$8,228.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $995.59 / $1,212.60 / $2,037.11	Professional		$995.59	$1,212.60	$2,037.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $434.38 / $511.03	Professional		$136.10	$434.38	$511.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $181.39 / $181.39	Professional		$60.00	$181.39	$181.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,556.94 / $3,071.22 / $3,114.83	Facility		$2,556.94	$3,071.22	$3,114.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,556.94 / $3,071.22 / $3,114.83	Professional		$2,556.94	$3,071.22	$3,114.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $158.83 / $158.83	Facility		$158.83	$158.83	$158.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.18 / $1,771.40 / $2,037.11	Professional		$1,640.18	$1,771.40	$2,037.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $122.48 / $149.13	Professional		$122.48	$122.48	$149.13
United Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $771.74 / $1,286.23	Professional		$617.16	$771.74	$1,286.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $953.04 / $953.04 / $953.04	Professional		$953.04	$953.04	$953.04