Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.73 / $1,275.42 / $1,545.23	Facility		$756.73	$1,275.42	$1,545.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $823.73 / $1,075.89	Professional		$748.85	$823.73	$1,075.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $682.52 / $1,059.26 / $2,047.89	Facility		$682.52	$1,059.26	$2,047.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $755.88 / $875.68	Professional		$748.85	$755.88	$875.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $706.46 / $1,734.82	Facility		$706.46	$706.46	$1,734.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $918.39	Professional		$748.84	$748.84	$918.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.89 / $886.26 / $1,557.61	Facility		$742.89	$886.26	$1,557.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.74 / $1,089.31 / $1,906.30	Facility		$612.74	$1,089.31	$1,906.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.90 / $776.13 / $833.98	Professional		$701.90	$776.13	$833.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $682.52 / $847.40 / $1,572.29	Facility		$682.52	$847.40	$1,572.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85