Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.97 / $853.91 / $1,051.46	Facility		$513.97	$853.91	$1,051.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $559.63 / $612.66	Professional		$508.76	$559.63	$612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $467.32 / $713.51 / $1,379.44	Facility		$467.32	$713.51	$1,379.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $512.37 / $596.88	Professional		$508.76	$512.37	$596.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $479.96 / $969.76	Facility		$479.96	$479.96	$969.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $623.95	Professional		$508.76	$508.76	$623.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.50 / $631.89 / $1,058.22	Facility		$505.50	$631.89	$1,058.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.54 / $512.37 / $1,060.25	Facility		$393.54	$512.37	$1,060.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.77 / $526.09 / $563.04	Professional		$475.77	$526.09	$563.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $475.67 / $547.02 / $1,059.08	Facility		$475.67	$547.02	$1,059.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76