Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.06 / $2,673.06 / $2,673.06	Facility		$2,673.06	$2,673.06	$2,673.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,673.06 / $2,673.06 / $4,009.59	Professional		$2,673.06	$2,673.06	$4,009.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.33 / $468.23	Facility		$100.00	$173.33	$468.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,252.40 / $4,019.14 / $5,614.67	Professional		$3,252.40	$4,019.14	$5,614.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $396.83	Professional		$248.35	$248.35	$396.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $534.73 / $534.73	Professional		$60.00	$534.73	$534.73
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 $468.23 / $468.23 / $468.23	Facility		$468.23	$468.23	$468.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.59 / $5,344.19 / $9,415.95	Professional		$941.59	$5,344.19	$9,415.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.07 / $361.07 / $439.64	Professional		$361.07	$361.07	$439.64
United Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $325.30 / $2,271.23	Professional		$226.76	$325.30	$2,271.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $4,019.14	Professional		$78.87	$78.87	$4,019.14