Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.93 / $1,690.87 / $3,042.27	Facility		$435.93	$1,690.87	$3,042.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $435.93 / $435.93	Professional		$245.79	$435.93	$435.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $486.95 / $761.03 / $2,202.86	Facility		$486.95	$761.03	$2,202.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $394.20 / $658.54	Professional		$2.58	$394.20	$658.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.30 / $949.54 / $1,197.47	Facility		$482.30	$949.54	$1,197.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $533.17 / $666.48	Professional		$533.17	$533.17	$666.48
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 $463.76 / $463.76 / $649.26	Facility		$463.76	$463.76	$649.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $695.64 / $1,275.33	Facility		$463.76	$695.64	$1,275.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $486.95 / $658.54	Professional		$394.20	$486.95	$658.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $486.95 / $761.03 / $1,275.33	Facility		$486.95	$761.03	$1,275.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.82 / $463.76 / $1,251.19	Professional		$347.82	$463.76	$1,251.19
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $194.78 / $537.96	Professional		$194.78	$194.78	$537.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $208.69 / $240.23	Professional		$208.69	$208.69	$240.23