Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.27 / $1,676.65 / $3,016.68	Facility		$432.27	$1,676.65	$3,016.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $432.27 / $432.27	Professional		$243.73	$432.27	$432.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $482.85 / $754.63 / $2,184.34	Facility		$482.85	$754.63	$2,184.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $390.88 / $653.00	Professional		$2.58	$390.88	$653.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.26 / $941.57 / $1,187.42	Facility		$478.26	$941.57	$1,187.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $528.64 / $660.80	Professional		$528.64	$528.64	$660.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $459.86 / $643.79	Facility		$459.86	$459.86	$643.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $689.79 / $1,264.61	Facility		$459.86	$689.79	$1,264.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.88 / $482.85 / $653.00	Professional		$390.88	$482.85	$653.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $482.85 / $754.63 / $1,264.61	Facility		$482.85	$754.63	$1,264.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $459.86 / $1,240.41	Professional		$344.90	$459.86	$1,240.41
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $193.14 / $459.86	Professional		$193.14	$193.14	$459.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $206.94 / $238.21	Professional		$206.94	$206.94	$238.21