Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $1,090.58 / $1,090.58	Facility		$657.14	$1,090.58	$1,090.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $697.97 / $1,196.83	Professional		$634.51	$697.97	$1,196.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.93 / $2,436.81 / $4,714.28	Facility		$1,272.93	$2,436.81	$4,714.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $1,094.80 / $1,470.40	Professional		$570.00	$1,094.80	$1,470.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.06 / $1,677.50 / $2,163.84	Facility		$852.06	$1,677.50	$2,163.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $416.30 / $520.38	Professional		$152.18	$416.30	$520.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $2,081.00 / $2,880.61	Facility		$1,299.00	$2,081.00	$2,880.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.32 / $1,574.32 / $1,574.32	Professional		$1,574.32	$1,574.32	$1,574.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,580.16 / $2,436.81 / $4,634.07	Facility		$1,580.16	$2,436.81	$4,634.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Professional		$1,100.00	$1,100.00	$1,100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,036.00	Professional		$800.00	$800.00	$1,036.00