Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.85 / $515.94 / $786.96	Professional		$412.85	$515.94	$786.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,513.43 / $3,513.43	Facility		$100.00	$3,513.43	$3,513.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $610.39 / $1,019.60	Professional		$118.33	$610.39	$1,019.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $612.00	Facility		$612.00	$612.00	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $520.20 / $734.40	Professional		$69.77	$520.20	$734.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,091.75 / $1,311.33 / $1,390.88	Facility		$1,091.75	$1,311.33	$1,390.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,091.75 / $1,311.33 / $1,329.95	Professional		$1,091.75	$1,311.33	$1,329.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $90.52 / $90.52	Facility		$90.52	$90.52	$90.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $664.28 / $936.80	Professional		$66.43	$664.28	$936.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $118.33 / $144.08	Professional		$118.33	$118.33	$144.08
United Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $420.70 / $593.66	Professional		$356.20	$420.70	$593.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $610.39 / $872.78	Professional		$610.39	$610.39	$872.78