Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.71 / $1,199.64 / $3,192.93	Facility		$544.71	$1,199.64	$3,192.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.51 / $544.71 / $1,199.64	Professional		$448.51	$544.71	$1,199.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $608.45 / $1,144.33 / $2,752.53	Facility		$608.45	$1,144.33	$2,752.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $527.33 / $1,000.05	Professional		$286.17	$527.33	$1,000.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.91 / $1,050.97 / $1,694.97	Facility		$397.91	$1,050.97	$1,694.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.02 / $708.96 / $1,141.36	Professional		$377.02	$708.96	$1,141.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $559.02 / $614.92	Professional		$412.59	$559.02	$614.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $608.45 / $1,279.20	Facility		$579.48	$608.45	$1,279.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $869.22 / $1,593.57	Facility		$579.48	$869.22	$1,593.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $521.53 / $521.53	Professional		$521.53	$521.53	$521.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $666.40 / $956.14 / $1,593.57	Facility		$666.40	$956.14	$1,593.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $579.48 / $1,563.77	Professional		$434.61	$579.48	$1,563.77
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $287.32 / $579.48	Professional		$243.38	$287.32	$579.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $260.77 / $300.17	Professional		$260.77	$260.77	$300.17