Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.80 / $2,340.81 / $3,594.28	Facility		$709.80	$2,340.81	$3,594.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $266.80 / $427.89	Professional		$266.80	$266.80	$427.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $528.57 / $826.08 / $2,391.15	Facility		$528.57	$826.08	$2,391.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $453.06 / $983.88	Professional		$28.88	$453.06	$983.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.54 / $1,030.71 / $1,299.83	Facility		$523.54	$1,030.71	$1,299.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $578.20 / $722.75	Professional		$578.20	$578.20	$722.75
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 $503.40 / $503.40 / $704.76	Facility		$503.40	$503.40	$704.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $755.10 / $1,384.35	Facility		$503.40	$755.10	$1,384.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.89 / $528.57 / $714.83	Professional		$427.89	$528.57	$714.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $528.57 / $826.08 / $1,384.35	Facility		$528.57	$826.08	$1,384.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $503.40 / $1,358.08	Professional		$377.55	$503.40	$1,358.08
United Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $604.08 / $604.08	Facility		$503.40	$604.08	$604.08
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $503.40	Professional		$211.43	$211.43	$503.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $226.53 / $260.76	Professional		$226.53	$226.53	$260.76