Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.49 / $3,589.71 / $5,511.94	Facility		$1,088.49	$3,589.71	$5,511.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $409.15 / $656.18	Professional		$409.15	$409.15	$656.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.58 / $1,266.82 / $3,666.91	Facility		$810.58	$1,266.82	$3,666.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $694.78 / $1,508.26	Professional		$308.79	$694.78	$1,508.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.86 / $1,580.64 / $1,993.36	Facility		$802.86	$1,580.64	$1,993.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $887.12 / $1,108.91	Professional		$887.12	$887.12	$1,108.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.78 / $849.18 / $1,350.97	Facility		$694.78	$849.18	$1,350.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $1,157.97 / $2,122.94	Facility		$771.98	$1,157.97	$2,122.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.18 / $810.58 / $1,096.21	Professional		$656.18	$810.58	$1,096.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $810.58 / $1,266.82 / $2,122.94	Facility		$810.58	$1,266.82	$2,122.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.99 / $771.98 / $2,082.92	Professional		$578.99	$771.98	$2,082.92
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $324.23 / $926.38	Professional		$324.23	$324.23	$926.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.39 / $347.39 / $399.89	Professional		$347.39	$347.39	$399.89