Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.31 / $1,424.67 / $2,563.32	Facility		$367.31	$1,424.67	$2,563.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $367.31 / $367.31	Professional		$207.10	$367.31	$367.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $410.29 / $641.22 / $1,856.06	Facility		$410.29	$641.22	$1,856.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $335.85 / $554.87	Professional		$203.55	$335.85	$554.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.38 / $800.07 / $1,008.98	Facility		$406.38	$800.07	$1,008.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
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 $390.75 / $410.29 / $683.81	Facility		$390.75	$410.29	$683.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $586.13 / $1,074.56	Facility		$390.75	$586.13	$1,074.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.14 / $410.29 / $554.87	Professional		$332.14	$410.29	$554.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $410.29 / $641.22 / $1,074.56	Facility		$410.29	$641.22	$1,074.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.06 / $390.75 / $1,054.49	Professional		$293.06	$390.75	$1,054.49
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $390.75	Professional		$164.12	$164.12	$390.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $175.84 / $202.41	Professional		$175.84	$175.84	$202.41