Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.40 / $971.40 / $971.40	Facility		$971.40	$971.40	$971.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.40 / $971.40 / $1,499.67	Professional		$971.40	$971.40	$1,499.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $100.00 / $170.16	Facility		$61.07	$100.00	$170.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $963.72 / $1,321.25 / $2,040.36	Professional		$963.72	$1,321.25	$2,040.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $194.32 / $194.32	Professional		$60.00	$194.32	$194.32
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 $170.16 / $170.16 / $170.16	Facility		$170.16	$170.16	$170.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.05 / $1,735.63 / $2,182.36	Professional		$1,613.05	$1,735.63	$2,182.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $131.22 / $159.77	Professional		$131.22	$131.22	$159.77
United Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $123.61 / $825.37	Professional		$82.40	$123.61	$825.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $963.72	Professional		$78.87	$78.87	$963.72