Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.08 / $451.08 / $451.08	Facility		$451.08	$451.08	$451.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $459.78 / $698.94	Professional		$373.75	$459.78	$698.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $530.34 / $530.34 / $530.34	Professional		$530.34	$530.34	$530.34
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 $120.36 / $581.30 / $1,056.59	Professional		$120.36	$581.30	$1,056.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $545.00	Facility		$545.00	$545.00	$545.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $463.25 / $635.41	Professional		$66.06	$463.25	$635.41
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 $79.15 / $79.15 / $79.15	Facility		$79.15	$79.15	$79.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $599.92 / $811.67	Professional		$59.99	$599.92	$811.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $98.85 / $120.36	Professional		$98.85	$98.85	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $475.73 / $516.08 / $792.89	Professional		$475.73	$516.08	$792.89