Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $882.30	Facility		$374.98	$374.98	$882.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $374.98 / $374.98	Professional		$366.15	$374.98	$374.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $146.46 / $661.73	Facility		$37.50	$146.46	$661.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $37.50 / $176.46	Professional		$18.55	$37.50	$176.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $749.96	Facility		$374.98	$374.98	$749.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
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 $146.46 / $146.46 / $149.99	Facility		$146.46	$146.46	$149.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.87 / $158.81 / $176.46	Professional		$135.87	$158.81	$176.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Facility		$37.50	$37.50	$37.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $441.16	Professional		$367.63	$367.63	$441.16