Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.45 / $2,415.77 / $4,346.52	Facility		$629.45	$2,415.77	$4,346.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.17 / $622.83 / $629.45	Professional		$351.17	$622.83	$629.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $695.71 / $1,159.52 / $3,147.26	Facility		$695.71	$1,159.52	$3,147.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $508.86 / $861.35	Professional		$12.34	$508.86	$861.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.09 / $1,356.64 / $1,710.88	Facility		$689.09	$1,356.64	$1,710.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $927.61	Facility		$662.58	$662.58	$927.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $993.87 / $1,822.10	Facility		$662.58	$993.87	$1,822.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.19 / $695.71 / $940.86	Professional		$563.19	$695.71	$940.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $695.71 / $1,087.29 / $1,822.10	Facility		$695.71	$1,087.29	$1,822.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $599.71 / $808.20 / $1,867.42	Professional		$599.71	$808.20	$1,867.42
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $662.58	Professional		$278.27	$278.27	$662.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $298.16 / $343.22	Professional		$298.16	$298.16	$343.22