Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $666.60 / $860.24	Facility		$461.62	$666.60	$860.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $815.80	Professional		$461.62	$461.62	$815.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $312.61 / $492.27 / $1,160.92	Facility		$312.61	$492.27	$1,160.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $488.77 / $488.77 / $570.23	Professional		$488.77	$488.77	$570.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $842.25 / $1,618.48	Facility		$506.88	$842.25	$1,618.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.05 / $311.14 / $315.57	Facility		$259.05	$311.14	$315.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.76 / $791.54 / $1,343.21	Facility		$407.76	$791.54	$1,343.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.89 / $515.92 / $570.23	Professional		$439.89	$515.92	$570.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $393.82 / $760.55	Facility		$285.66	$393.82	$760.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.77 / $488.77 / $488.77	Professional		$488.77	$488.77	$488.77
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $511.40 / $543.08	Professional		$452.57	$511.40	$543.08