Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.79 / $979.72 / $1,206.38	Facility		$590.79	$979.72	$1,206.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $637.96 / $702.95	Professional		$579.97	$637.96	$702.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $539.33 / $844.32 / $1,632.35	Facility		$539.33	$844.32	$1,632.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $594.97 / $684.79	Professional		$579.97	$594.97	$684.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $547.14 / $1,365.52	Facility		$547.14	$547.14	$1,365.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $711.28	Professional		$579.97	$579.97	$711.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $724.96 / $1,206.38	Facility		$579.97	$724.96	$1,206.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.39 / $862.92 / $1,510.12	Facility		$485.39	$862.92	$1,510.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $610.90 / $664.84	Professional		$552.47	$610.90	$664.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $530.72 / $675.46 / $1,253.25	Facility		$530.72	$675.46	$1,253.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $684.79	Professional		$579.97	$579.97	$684.79