Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,463.70 / $6,232.00	Facility		$893.00	$3,463.70	$6,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $893.00 / $893.00	Professional		$503.50	$893.00	$893.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $1,558.95 / $4,512.50	Facility		$997.50	$1,558.95	$4,512.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $855.00 / $1,855.87	Professional		$336.26	$855.00	$1,855.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,945.13 / $2,453.02	Facility		$988.00	$1,945.13	$2,453.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional		$1,091.56	$1,091.56	$1,364.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,045.00 / $1,662.50	Facility		$855.00	$1,045.00	$1,662.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,425.00 / $2,612.50	Facility		$950.00	$1,425.00	$2,612.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $997.50 / $1,349.00	Professional		$807.50	$997.50	$1,349.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $1,558.95 / $2,612.50	Facility		$997.50	$1,558.95	$2,612.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $950.00 / $2,563.46	Professional		$712.50	$950.00	$2,563.46
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $950.00	Professional		$399.00	$399.00	$950.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $427.50 / $492.10	Professional		$427.50	$427.50	$492.10