Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.76 / $464.76 / $464.76	Facility		$464.76	$464.76	$464.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $464.76 / $706.50	Professional		$373.75	$464.76	$706.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,720.55 / $3,720.55	Facility		$100.00	$3,720.55	$3,720.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $597.91 / $1,074.78	Professional		$129.36	$597.91	$1,074.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $552.13	Facility		$552.13	$552.13	$552.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $469.31 / $672.59	Professional		$67.09	$469.31	$672.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.09 / $1,278.77 / $1,408.34	Facility		$1,156.09	$1,278.77	$1,408.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,156.09 / $1,388.62 / $1,408.34	Professional		$1,156.09	$1,388.62	$1,408.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $81.55 / $81.55	Facility		$81.55	$81.55	$81.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $684.63 / $932.72	Professional		$59.99	$684.63	$932.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $129.36	Professional		$106.24	$106.24	$129.36
United Facility/Professional Professional Modifier Low / Median / High Price $487.86 / $557.04 / $813.10	Professional		$487.86	$557.04	$813.10