Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.88 / $877.57 / $1,096.64	Facility		$520.88	$877.57	$1,096.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $559.86 / $692.14	Professional		$508.96	$559.86	$692.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $481.06 / $748.49 / $1,447.07	Facility		$481.06	$748.49	$1,447.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $519.48 / $604.67	Professional		$508.96	$519.48	$604.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $1,192.25	Facility		$480.15	$480.15	$1,192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $624.20	Professional		$508.96	$508.96	$624.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $636.20 / $1,080.59	Facility		$508.96	$636.20	$1,080.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.54 / $758.29 / $1,327.01	Facility		$426.54	$758.29	$1,327.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.37 / $533.39 / $604.67	Professional		$482.37	$533.39	$604.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $481.06 / $598.79 / $1,111.00	Facility		$481.06	$598.79	$1,111.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96