Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $317.95 / $1,085.44	Facility		$148.00	$317.95	$1,085.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $530.59 / $950.00	Facility		$172.00	$530.59	$950.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $200.00 / $440.00	Facility		$115.00	$200.00	$440.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $440.50 / $1,085.44	Facility		$148.00	$440.50	$1,085.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $616.05 / $616.05 / $616.05	Facility		$616.05	$616.05	$616.05
United Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $216.64 / $1,086.69	Facility		$159.00	$216.64	$1,086.69