Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.47 / $993.02 / $144,000.00	Facility		$545.47	$993.02	$144,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $546.41 / $600.78	Professional		$496.74	$546.41	$600.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $596.09 / $1,189.20	Facility		$491.40	$596.09	$1,189.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $522.99 / $569.67	Professional		$496.74	$522.99	$569.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $468.62 / $993.36	Facility		$468.62	$468.62	$993.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $609.21	Professional		$496.74	$496.74	$609.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $496.74 / $938.84	Facility		$491.40	$496.74	$938.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.26 / $786.25 / $1,375.93	Facility		$442.26	$786.25	$1,375.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $536.99 / $569.67	Professional		$485.63	$536.99	$569.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $546.41 / $982.80	Facility		$491.40	$546.41	$982.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $556.35	Professional		$496.74	$496.74	$556.35