Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $1,580.08 / $2,408.89	Facility		$477.68	$1,580.08	$2,408.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $1,787.10 / $4,627.37	Professional		$771.56	$1,787.10	$4,627.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $835.40 / $1,253.09 / $2,422.66	Facility		$835.40	$1,253.09	$2,422.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $869.08 / $1,165.40	Professional		$771.56	$869.08	$1,165.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $1,942.59	Facility		$727.88	$727.88	$1,942.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $946.25	Professional		$771.56	$771.56	$946.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.55 / $964.45 / $1,643.28	Facility		$771.55	$964.45	$1,643.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.05 / $1,379.65 / $2,414.38	Facility		$776.05	$1,379.65	$2,414.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.95 / $869.08 / $1,110.00	Professional		$785.95	$869.08	$1,110.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $835.40 / $1,044.25 / $2,409.50	Facility		$835.40	$1,044.25	$2,409.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56