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 / $1,284.27 / $1,853.67	Professional		$970.00	$1,284.27	$1,853.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $131.01	Professional		$93.11	$93.11	$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 $310.86 / $1,724.00 / $1,764.32	Professional		$310.86	$1,724.00	$1,764.32
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 / $1,284.27	Professional		$81.01	$81.01	$1,284.27