Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $212.76 / $263.52	Professional		$160.08	$212.76	$263.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $279.05 / $1,141.64 / $1,141.64	Facility		$279.05	$1,141.64	$1,141.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $306.95 / $533.61	Professional		$121.51	$306.95	$533.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $263.63	Professional		$172.39	$172.39	$263.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $170.55 / $176.74	Professional		$170.55	$170.55	$176.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.85 / $420.09 / $420.09	Facility		$344.85	$420.09	$420.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.05 / $279.05 / $291.11	Facility		$279.05	$279.05	$291.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $485.59 / $545.53	Professional		$285.45	$485.59	$545.53
United Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $373.86 / $605.71	Professional		$271.35	$373.86	$605.71