Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.21 / $3,065.01 / $5,514.66	Facility		$790.21	$3,065.01	$5,514.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.54 / $790.21 / $790.21	Professional		$445.54	$790.21	$790.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $882.68 / $1,379.51 / $3,993.09	Facility		$882.68	$1,379.51	$3,993.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $501.45 / $840.65 / $1,642.67	Professional		$501.45	$840.65	$1,642.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.27 / $1,721.22 / $2,170.65	Facility		$874.27	$1,721.22	$2,170.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $966.01 / $1,207.51	Professional		$966.01	$966.01	$1,207.51
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 $756.59 / $924.72 / $1,471.14	Facility		$756.59	$924.72	$1,471.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,260.98 / $2,311.79	Facility		$840.65	$1,260.98	$2,311.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $882.68 / $1,193.72	Professional		$714.55	$882.68	$1,193.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $882.68 / $1,379.51 / $2,311.79	Facility		$882.68	$1,379.51	$2,311.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $840.65 / $2,267.96	Professional		$630.49	$840.65	$2,267.96
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $353.07 / $840.65	Professional		$353.07	$353.07	$840.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.29 / $378.29 / $435.46	Professional		$378.29	$378.29	$435.46