Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $384.00	Facility		$163.19	$163.19	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $163.19 / $163.19	Professional		$159.36	$163.19	$163.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $297.60 / $672.00	Facility		$163.19	$297.60	$672.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $264.00	Professional		$163.19	$163.19	$264.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $652.79	Facility		$163.19	$163.19	$652.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
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 $163.19 / $345.60 / $528.00	Facility		$163.19	$345.60	$528.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $172.80 / $192.00	Professional		$147.84	$172.80	$192.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $167.77 / $418.82	Facility		$163.19	$167.77	$418.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $192.00	Professional		$160.00	$160.00	$192.00