Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.64 / $524.64 / $524.64	Facility		$524.64	$524.64	$524.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.98 / $524.64 / $875.88	Professional		$450.98	$524.64	$875.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $5,046.28 / $5,046.28	Facility		$92.08	$5,046.28	$5,046.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $692.28 / $1,294.13	Professional		$113.35	$692.28	$1,294.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $739.60 / $1,177.50	Professional		$81.44	$739.60	$1,177.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.50 / $1,802.30 / $1,883.43	Facility		$1,479.50	$1,802.30	$1,883.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,479.50 / $1,802.30 / $1,802.30	Professional		$1,479.50	$1,802.30	$1,802.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $92.08 / $92.08	Facility		$92.08	$92.08	$92.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $788.38 / $788.38	Professional		$78.84	$788.38	$788.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $93.09 / $113.35	Professional		$93.09	$93.09	$113.35
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $76.52 / $585.52	Professional		$51.01	$76.52	$585.52