Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.64 / $533.64 / $533.64	Facility		$533.64	$533.64	$533.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.64 / $533.64 / $598.39	Professional		$533.64	$533.64	$598.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $605.84 / $872.41 / $2,204.14	Facility		$605.84	$872.41	$2,204.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $821.04 / $1,338.11	Professional		$127.43	$821.04	$1,338.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.13 / $898.50 / $975.52	Facility		$640.13	$898.50	$975.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.57 / $659.57 / $665.39	Facility		$659.57	$659.57	$665.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.39 / $1,033.89 / $1,338.11	Professional		$665.39	$1,033.89	$1,338.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $605.84 / $727.01 / $1,381.31	Facility		$605.84	$727.01	$1,381.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $424.89 / $829.92 / $1,307.78	Professional		$424.89	$829.92	$1,307.78
United Facility/Professional Professional Modifier Low / Median / High Price $443.11 / $446.64 / $1,071.94	Professional		$443.11	$446.64	$1,071.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05