Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.15 / $3,270.46 / $5,884.32	Facility		$852.15	$3,270.46	$5,884.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.41 / $843.18 / $852.15	Professional		$475.41	$843.18	$852.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $941.85 / $1,471.98 / $4,260.75	Facility		$941.85	$1,471.98	$4,260.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $735.54 / $1,834.14	Professional		$10.28	$735.54	$1,834.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.88 / $1,836.61 / $2,316.17	Facility		$932.88	$1,836.61	$2,316.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,288.56	Professional		$1,030.84	$1,030.84	$1,288.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $1,255.80	Facility		$897.00	$897.00	$1,255.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $1,345.50 / $2,466.75	Facility		$897.00	$1,345.50	$2,466.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.45 / $941.85 / $1,273.74	Professional		$762.45	$941.85	$1,273.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $941.85 / $1,471.98 / $2,466.75	Facility		$941.85	$1,471.98	$2,466.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.02 / $1,752.58 / $2,528.98	Professional		$812.02	$1,752.58	$2,528.98
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $897.00	Professional		$376.74	$376.74	$897.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.65 / $403.65 / $464.65	Professional		$403.65	$403.65	$464.65