Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.40 / $344.40 / $344.40	Facility		$344.40	$344.40	$344.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $353.65 / $531.45	Professional		$344.40	$353.65	$531.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,536.46 / $3,536.46	Facility		$100.00	$3,536.46	$3,536.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $509.55 / $724.05	Professional		$69.78	$509.55	$724.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $269.23 / $316.74	Professional		$58.97	$269.23	$316.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.75 / $683.60 / $820.75	Facility		$673.75	$683.60	$820.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $673.75 / $820.75 / $820.75	Professional		$673.75	$820.75	$820.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $60.45 / $60.45	Facility		$60.45	$60.45	$60.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $533.29 / $1,218.78	Professional		$53.33	$533.29	$1,218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $69.78	Professional		$57.31	$57.31	$69.78
United Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $289.79 / $442.10	Professional		$265.26	$289.79	$442.10