Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.60 / $951.60 / $951.60	Facility		$951.60	$951.60	$951.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.60 / $951.60 / $1,468.89	Professional		$951.60	$951.60	$1,468.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $100.00 / $166.69	Facility		$59.82	$100.00	$166.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $940.94 / $1,294.23 / $1,998.78	Professional		$940.94	$1,294.23	$1,998.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $144.13	Professional		$91.49	$91.49	$144.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $190.36 / $190.36	Professional		$60.00	$190.36	$190.36
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 $166.69 / $166.69 / $166.69	Facility		$166.69	$166.69	$166.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $1,580.15 / $3,352.02	Professional		$335.20	$1,580.15	$3,352.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $128.54 / $156.51	Professional		$128.54	$128.54	$156.51
United Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $134.54 / $808.54	Professional		$80.72	$134.54	$808.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $940.94	Professional		$78.87	$78.87	$940.94