Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.80 / $2,340.81 / $3,594.28	Facility		$709.80	$2,340.81	$3,594.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $266.80 / $499.80	Professional		$251.69	$266.80	$499.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $528.57 / $976.60 / $2,391.15	Facility		$528.57	$976.60	$2,391.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $427.89 / $755.10	Professional		$201.36	$427.89	$755.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.54 / $1,070.07 / $1,309.99	Facility		$523.54	$1,070.07	$1,309.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $656.25	Professional		$525.00	$525.00	$656.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.06 / $553.74 / $880.95	Facility		$453.06	$553.74	$880.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $755.10 / $1,384.35	Facility		$503.40	$755.10	$1,384.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.89 / $528.57 / $714.83	Professional		$427.89	$528.57	$714.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $528.57 / $826.08 / $1,384.35	Facility		$528.57	$826.08	$1,384.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $503.40 / $1,358.08	Professional		$377.55	$503.40	$1,358.08
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $503.40	Professional		$211.43	$211.43	$503.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $226.53 / $260.76	Professional		$226.53	$226.53	$260.76