Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.21 / $619.70 / $1,001.67	Facility		$481.21	$619.70	$1,001.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $532.54 / $582.70	Professional		$484.14	$532.54	$582.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $443.50 / $697.11 / $1,347.75	Facility		$443.50	$697.11	$1,347.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $496.31 / $566.71	Professional		$484.14	$496.31	$566.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $456.73 / $939.48	Facility		$456.73	$456.73	$939.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $593.75	Professional		$484.14	$484.14	$593.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $601.96 / $1,007.01	Facility		$481.57	$601.96	$1,007.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.72 / $709.60 / $1,241.81	Facility		$394.72	$709.60	$1,241.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.87 / $509.61 / $540.63	Professional		$460.87	$509.61	$540.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.07 / $532.59 / $929.48	Facility		$426.07	$532.59	$929.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14