Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.96 / $1,296.08 / $1,296.08	Facility		$780.96	$1,296.08	$1,296.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $812.28 / $1,532.14	Professional		$720.00	$812.28	$1,532.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $484.04 / $936.42	Facility		$289.37	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $496.30 / $1,200.00 / $1,654.20	Professional		$496.30	$1,200.00	$1,654.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $333.21 / $476.01	Facility		$169.25	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $519.54 / $649.44	Professional		$152.18	$519.54	$649.44
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 $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.58 / $1,922.58 / $1,922.58	Professional		$1,922.58	$1,922.58	$1,922.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $484.04 / $920.49	Facility		$313.88	$484.04	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,165.50	Professional		$900.00	$900.00	$1,165.50