Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $1,177.51 / $2,118.62	Facility		$303.58	$1,177.51	$2,118.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $303.58 / $303.58	Professional		$190.19	$303.58	$303.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $529.98 / $1,534.06	Facility		$339.11	$529.98	$1,534.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $290.66 / $630.98	Professional		$5.95	$290.66	$630.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $661.25 / $833.91	Facility		$201.19	$661.25	$833.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $370.87 / $463.59	Professional		$370.87	$370.87	$463.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $355.26 / $565.17	Facility		$290.66	$355.26	$565.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $484.44 / $888.14	Facility		$322.95	$484.44	$888.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $339.11 / $458.60	Professional		$290.66	$339.11	$458.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $529.98 / $888.14	Facility		$339.11	$529.98	$888.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $322.95 / $871.25	Professional		$242.22	$322.95	$871.25
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $135.63 / $322.95	Professional		$135.63	$135.63	$322.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $145.33 / $167.29	Professional		$145.33	$145.33	$167.29