Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $1,148.18 / $1,763.01	Facility		$348.15	$1,148.18	$1,763.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $130.87 / $239.51	Professional		$130.87	$130.87	$239.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $405.20 / $1,172.86	Facility		$259.27	$405.20	$1,172.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $222.23 / $482.67	Professional		$45.77	$222.23	$482.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $505.58 / $637.59	Facility		$256.80	$505.58	$637.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $283.73 / $354.66	Professional		$283.73	$283.73	$354.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.23 / $271.61 / $432.11	Facility		$222.23	$271.61	$432.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $370.38 / $679.03	Facility		$246.92	$370.38	$679.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $259.27 / $350.63	Professional		$209.88	$259.27	$350.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $405.20 / $679.03	Facility		$259.27	$405.20	$679.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $246.92 / $666.46	Professional		$185.19	$246.92	$666.46
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $246.92	Professional		$103.71	$103.71	$246.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $111.11 / $127.90	Professional		$111.11	$111.11	$127.90