Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.75 / $322.41 / $532.62	Professional		$260.75	$322.41	$532.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,989.48 / $1,989.48	Facility		$100.00	$1,989.48	$1,989.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $390.23 / $672.50	Professional		$65.62	$390.23	$672.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Facility		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $279.64 / $528.75	Professional		$43.51	$279.64	$528.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.20 / $742.54 / $897.71	Facility		$618.20	$742.54	$897.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $742.54 / $753.08	Professional		$618.20	$742.54	$753.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $55.43 / $55.43	Facility		$55.43	$55.43	$55.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $435.03 / $588.57	Professional		$43.50	$435.03	$588.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $65.62 / $79.90	Professional		$65.62	$65.62	$79.90
United Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $274.48 / $348.26	Professional		$208.96	$274.48	$348.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.23 / $390.23 / $569.44	Professional		$390.23	$390.23	$569.44