Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.33 / $1,277.06 / $4,416.93	Facility		$684.33	$1,277.06	$4,416.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $753.52 / $1,186.40	Professional		$394.23	$753.52	$1,186.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $801.62 / $1,315.46 / $3,807.70	Facility		$801.62	$1,315.46	$3,807.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $320.64 / $601.22 / $1,523.08	Professional		$320.64	$601.22	$1,523.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $1,177.57 / $2,069.87	Facility		$224.94	$1,177.57	$2,069.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.57 / $823.42 / $1,151.24	Professional		$331.57	$823.42	$1,151.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $570.75 / $773.32 / $850.65	Professional		$570.75	$773.32	$850.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $801.62 / $801.62 / $1,769.58	Facility		$801.62	$801.62	$1,769.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.62 / $1,202.43 / $2,204.46	Facility		$801.62	$1,202.43	$2,204.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $721.46 / $721.46	Professional		$721.46	$721.46	$721.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $841.70 / $1,315.46 / $2,204.46	Facility		$841.70	$1,315.46	$2,204.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.17 / $801.62 / $2,162.87	Professional		$420.17	$801.62	$2,162.87
United Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $336.68 / $801.62	Professional		$188.59	$336.68	$801.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $360.73 / $415.24	Professional		$360.73	$360.73	$415.24