Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.64 / $1,116.92 / $1,341.79	Facility		$602.64	$1,116.92	$1,341.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $614.29 / $846.86	Professional		$558.46	$614.29	$846.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $542.91 / $670.15 / $1,520.17	Facility		$542.91	$670.15	$1,520.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $572.91 / $645.98	Professional		$558.46	$572.91	$645.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $1,314.88	Facility		$526.85	$526.85	$1,314.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $684.90	Professional		$558.46	$558.46	$684.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $698.08 / $1,161.80	Facility		$558.46	$698.08	$1,161.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.63 / $868.67 / $1,520.17	Facility		$488.63	$868.67	$1,520.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.99 / $588.26 / $627.16	Professional		$531.99	$588.26	$627.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.91 / $614.30 / $1,089.83	Facility		$544.91	$614.30	$1,089.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46