Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $1,705.34	Facility		$724.77	$724.77	$1,705.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.72 / $724.77 / $724.77	Professional		$707.72	$724.77	$724.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $956.18 / $2,159.12	Facility		$382.50	$956.18	$2,159.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $724.77 / $852.67	Professional		$196.84	$724.77	$852.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.20 / $724.77 / $1,449.54	Facility		$477.20	$724.77	$1,449.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.84 / $79,999.20 / $79,999.20	Facility		$548.84	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.72 / $1,110.40 / $1,696.45	Facility		$707.72	$1,110.40	$1,696.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.56 / $767.40 / $852.67	Professional		$656.56	$767.40	$852.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $724.77 / $771.65	Facility		$279.70	$724.77	$771.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Professional		$710.56	$710.56	$710.56