Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $349.74 / $349.74	Facility		$349.74	$349.74	$349.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.88 / $353.00 / $551.61	Professional		$332.88	$353.00	$551.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,520.55 / $3,520.55	Facility		$100.00	$3,520.55	$3,520.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $469.20 / $746.37	Professional		$71.81	$469.20	$746.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $364.65 / $429.00	Professional		$59.62	$364.65	$429.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $691.35 / $842.19	Facility		$607.24	$691.35	$842.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $691.35 / $842.19 / $842.19	Professional		$691.35	$842.19	$842.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $61.38 / $61.38	Facility		$61.38	$61.38	$61.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $530.83 / $718.18	Professional		$53.08	$530.83	$718.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $60.78 / $74.01	Professional		$60.78	$60.78	$74.01
United Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $302.87 / $453.65	Professional		$272.19	$302.87	$453.65