Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.40 / $2,770.96 / $4,985.60	Facility		$714.40	$2,770.96	$4,985.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $714.40 / $714.40	Professional		$402.80	$714.40	$714.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,247.16 / $3,610.00	Facility		$798.00	$1,247.16	$3,610.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $684.00 / $1,554.20	Professional		$304.00	$684.00	$1,554.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.40 / $1,556.10 / $1,962.42	Facility		$790.40	$1,556.10	$1,962.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $836.00 / $1,330.00	Facility		$684.00	$836.00	$1,330.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,140.00 / $2,090.00	Facility		$760.00	$1,140.00	$2,090.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $798.00 / $1,079.20	Professional		$646.00	$798.00	$1,079.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,247.16 / $2,090.00	Facility		$798.00	$1,247.16	$2,090.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.15 / $1,116.07 / $2,050.59	Professional		$688.15	$1,116.07	$2,050.59
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $912.00 / $912.00	Facility		$760.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $760.00	Professional		$319.20	$319.20	$760.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $342.00 / $393.68	Professional		$342.00	$342.00	$393.68