Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,269.38 / $2,269.85 / $3,503.16	Professional		$2,269.38	$2,269.85	$3,503.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $20,369.16 / $20,369.16	Facility		$155.13	$20,369.16	$20,369.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.00 / $3,000.00 / $4,993.67	Professional		$2,691.00	$3,000.00	$4,993.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.90 / $1,891.29 / $2,225.05	Professional		$336.90	$1,891.29	$2,225.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $453.97 / $3,518.00	Professional		$60.00	$453.97	$3,518.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,603.61 / $7,001.01 / $7,710.36	Facility		$3,603.61	$7,001.01	$7,710.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,329.40 / $7,602.41 / $7,710.36	Professional		$6,329.40	$7,602.41	$7,710.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.52 / $397.52 / $397.52	Facility		$397.52	$397.52	$397.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.39 / $3,768.31 / $4,300.30	Professional		$799.39	$3,768.31	$4,300.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $306.55 / $373.26	Professional		$306.55	$306.55	$373.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.64 / $1,433.05 / $2,448.60	Professional		$1,186.64	$1,433.05	$2,448.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,435.07 / $2,435.07 / $2,691.00	Professional		$2,435.07	$2,435.07	$2,691.00