Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.54 / $869.14 / $1,180.35	Facility		$495.54	$869.14	$1,180.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $600.91 / $782.34	Professional		$546.29	$600.91	$782.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $544.73 / $817.10 / $1,579.72	Facility		$544.73	$817.10	$1,579.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $546.29 / $1,037.23	Professional		$346.55	$546.29	$1,037.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $1,043.66	Facility		$515.37	$515.37	$1,043.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $669.98	Professional		$546.29	$546.29	$669.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.37 / $661.73 / $1,136.28	Facility		$529.37	$661.73	$1,136.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.06 / $886.71 / $1,551.74	Facility		$471.06	$886.71	$1,551.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $326.67 / $1,037.23	Professional		$295.42	$326.67	$1,037.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.73 / $686.11 / $1,212.83	Facility		$544.73	$686.11	$1,212.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29