Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $2,734.50 / $4,920.00	Facility		$712.50	$2,734.50	$4,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $705.00 / $712.50	Professional		$397.50	$705.00	$712.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,230.75 / $3,562.50	Facility		$787.50	$1,230.75	$3,562.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $626.33 / $1,533.41	Professional		$336.26	$626.33	$1,533.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,535.63 / $1,936.59	Facility		$780.00	$1,535.63	$1,936.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $1,050.00	Facility		$750.00	$750.00	$1,050.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,125.00 / $2,062.50	Facility		$750.00	$1,125.00	$2,062.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $787.50 / $1,065.00	Professional		$637.50	$787.50	$1,065.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,230.75 / $2,062.50	Facility		$787.50	$1,230.75	$2,062.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $679.08 / $1,465.23 / $2,114.21	Professional		$679.08	$1,465.23	$2,114.21
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $750.00	Professional		$315.00	$315.00	$750.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $337.50 / $388.50	Professional		$337.50	$337.50	$388.50