Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.45 / $661.21 / $812.74	Facility		$413.45	$661.21	$812.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $431.27 / $475.19	Professional		$392.06	$431.27	$475.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $371.89 / $576.04 / $1,113.69	Facility		$371.89	$576.04	$1,113.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $404.59 / $452.26	Professional		$392.06	$404.59	$452.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $369.87 / $928.56	Facility		$369.87	$369.87	$928.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $480.83	Professional		$392.06	$392.06	$480.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $488.43 / $815.48	Facility		$390.74	$488.43	$815.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.93 / $595.42 / $1,042.01	Facility		$334.93	$595.42	$1,042.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.69 / $415.43 / $441.66	Professional		$375.69	$415.43	$441.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.89 / $460.84 / $855.04	Facility		$371.89	$460.84	$855.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $470.47	Professional		$392.06	$392.06	$470.47