Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.98 / $2,367.78 / $3,635.69	Facility		$717.98	$2,367.78	$3,635.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $269.88 / $432.82	Professional		$269.88	$269.88	$432.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $835.60 / $2,418.69	Facility		$534.66	$835.60	$2,418.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $458.28 / $995.14	Professional		$69.92	$458.28	$995.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $1,042.58 / $1,314.82	Facility		$529.57	$1,042.58	$1,314.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $585.22 / $731.53	Professional		$585.22	$585.22	$731.53
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 $458.28 / $560.12 / $891.10	Facility		$458.28	$560.12	$891.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $763.80 / $1,400.30	Facility		$509.20	$763.80	$1,400.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $534.66 / $723.06	Professional		$432.82	$534.66	$723.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $835.60 / $1,400.30	Facility		$534.66	$835.60	$1,400.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $509.20 / $1,374.25	Professional		$381.90	$509.20	$1,374.25
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $213.86 / $509.20	Professional		$213.86	$213.86	$509.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.14 / $229.14 / $263.77	Professional		$229.14	$229.14	$263.77