Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.72 / $666.72 / $666.72	Facility		$666.72	$666.72	$666.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.21 / $666.72 / $1,003.05	Professional		$554.21	$666.72	$1,003.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $6,750.76 / $6,750.76	Facility		$117.02	$6,750.76	$6,750.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $803.07 / $843.70 / $1,317.42	Professional		$803.07	$843.70	$1,317.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $659.52 / $1,428.75	Professional		$107.66	$659.52	$1,428.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,577.95 / $2,097.69 / $2,519.60	Facility		$1,577.95	$2,097.69	$2,519.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,577.95 / $1,922.23 / $1,922.23	Professional		$1,577.95	$1,922.23	$1,922.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $117.02 / $117.02	Facility		$117.02	$117.02	$117.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $1,161.77 / $2,359.12	Professional		$235.91	$1,161.77	$2,359.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $114.38 / $139.27	Professional		$114.38	$114.38	$139.27
United Facility/Professional Professional Modifier Low / Median / High Price $570.20 / $621.25 / $1,035.41	Professional		$570.20	$621.25	$1,035.41