Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $287.45 / $356.07	Professional		$216.28	$287.45	$356.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $376.90 / $1,541.69 / $1,541.69	Facility		$376.90	$1,541.69	$1,541.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $414.59 / $721.26	Professional		$188.60	$414.59	$721.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $356.25	Professional		$232.88	$232.88	$356.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $317.29 / $328.80	Professional		$317.29	$317.29	$328.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.85 / $567.49 / $567.49	Facility		$465.85	$567.49	$567.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.90 / $376.90 / $393.48	Facility		$376.90	$376.90	$393.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.55 / $656.34 / $736.82	Professional		$385.55	$656.34	$736.82
United Facility/Professional Professional Modifier Low / Median / High Price $366.31 / $472.12 / $783.88	Professional		$366.31	$472.12	$783.88