Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $56.48 / $58.76	Professional		$56.48	$56.48	$58.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.57 / $448.10 / $722.93	Facility		$217.57	$448.10	$722.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Professional		$15.84	$15.84	$15.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $808.54 / $808.54 / $808.54	Facility		$808.54	$808.54	$808.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
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 $334.58 / $79,999.20 / $79,999.20	Facility		$334.58	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.87 / $492.90 / $836.44	Facility		$265.87	$492.90	$836.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $217.57 / $358.48 / $665.12	Facility		$217.57	$358.48	$665.12