Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.48 / $882.48 / $882.48	Facility		$882.48	$882.48	$882.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $882.48 / $1,182.51	Professional		$750.30	$882.48	$1,182.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.74 / $100.00 / $154.58	Facility		$59.74	$100.00	$154.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $1,250.00 / $1,853.67	Professional		$970.00	$1,250.00	$1,853.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $131.01	Professional		$84.85	$84.85	$131.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $176.54 / $176.54	Professional		$60.00	$176.54	$176.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $154.58 / $154.58	Facility		$154.58	$154.58	$154.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,465.40 / $1,465.40 / $3,108.56	Professional		$1,465.40	$1,465.40	$3,108.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $119.20 / $145.13	Professional		$119.20	$119.20	$145.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $124.77 / $749.78	Professional		$74.86	$124.77	$749.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $81.01 / $1,250.00	Professional		$81.01	$81.01	$1,250.00