Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.69 / $1,070.02 / $3,530.42	Facility		$608.69	$1,070.02	$3,530.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.59 / $602.29 / $621.51	Professional		$339.59	$602.29	$621.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $672.77 / $1,051.44 / $3,043.47	Facility		$672.77	$1,051.44	$3,043.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $525.40 / $909.84	Professional		$208.00	$525.40	$909.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.35 / $1,311.88 / $1,654.43	Facility		$666.35	$1,311.88	$1,654.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.11 / $736.38 / $920.47	Professional		$658.11	$736.38	$920.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $704.80 / $961.10	Facility		$640.73	$704.80	$961.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $961.10 / $1,762.01	Facility		$640.73	$961.10	$1,762.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $672.77 / $909.84	Professional		$544.62	$672.77	$909.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $672.77 / $1,051.44 / $1,762.01	Facility		$672.77	$1,051.44	$1,762.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $480.55 / $640.73 / $1,729.04	Professional		$480.55	$640.73	$1,729.04
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $640.73	Professional		$269.11	$269.11	$640.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $288.33 / $331.90	Professional		$288.33	$288.33	$331.90