Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.53 / $1,972.45 / $3,548.89	Facility		$508.53	$1,972.45	$3,548.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.53 / $508.53 / $508.53	Professional		$508.53	$508.53	$508.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $568.04 / $887.76 / $2,569.69	Facility		$568.04	$887.76	$2,569.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $459.84 / $1,105.88	Professional		$50.00	$459.84	$1,105.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $872.07 / $1,364.89	Facility		$21.15	$872.07	$1,364.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.57 / $621.57 / $776.96	Professional		$621.57	$621.57	$776.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.89 / $595.09 / $946.73	Facility		$486.89	$595.09	$946.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.99 / $811.49 / $1,487.72	Facility		$540.99	$811.49	$1,487.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.84 / $568.04 / $768.21	Professional		$459.84	$568.04	$768.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $568.04 / $887.76 / $1,487.72	Facility		$568.04	$887.76	$1,487.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.61 / $794.27 / $1,459.57	Professional		$489.61	$794.27	$1,459.57
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $227.22 / $540.99	Professional		$227.22	$227.22	$540.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $243.45 / $280.23	Professional		$243.45	$243.45	$280.23