Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.60 / $634.29 / $1,028.41	Facility		$525.60	$634.29	$1,028.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $545.10 / $598.26	Professional		$495.55	$545.10	$598.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $473.51 / $594.66 / $1,145.90	Facility		$473.51	$594.66	$1,145.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $511.82 / $560.99	Professional		$495.55	$511.82	$560.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $968.80	Facility		$467.50	$467.50	$968.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $607.74	Professional		$495.55	$495.55	$607.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $618.04 / $1,030.74	Facility		$494.43	$618.04	$1,030.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.16 / $757.62 / $1,325.84	Facility		$426.16	$757.62	$1,325.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.26 / $525.53 / $557.52	Professional		$475.26	$525.53	$557.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $483.84 / $545.11 / $967.68	Facility		$483.84	$545.11	$967.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55