Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.68 / $385.68 / $385.68	Facility		$385.68	$385.68	$385.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $385.68 / $594.17	Professional		$373.75	$385.68	$594.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,587.75 / $2,587.75	Facility		$100.00	$2,587.75	$2,587.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $502.39 / $815.58	Professional		$83.20	$502.39	$815.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $315.18 / $370.80	Professional		$63.74	$315.18	$370.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $803.39 / $889.42 / $979.54	Facility		$803.39	$889.42	$979.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $804.10 / $965.83 / $979.54	Professional		$804.10	$965.83	$979.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $67.69 / $67.69	Facility		$67.69	$67.69	$67.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $136.46 / $1,364.56	Professional		$58.00	$136.46	$1,364.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $68.33 / $83.20	Professional		$68.33	$68.33	$83.20
United Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $340.65 / $527.63	Professional		$316.58	$340.65	$527.63