Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $1,291.78	Facility		$205.06	$205.06	$1,291.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $205.06 / $549.01	Professional		$205.06	$205.06	$549.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.83 / $239.14 / $549.01	Facility		$186.83	$239.14	$549.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $941.39	Professional		$645.89	$645.89	$941.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $2,282.16	Facility		$570.54	$570.54	$2,282.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $699.72	Professional		$570.54	$570.54	$699.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $296.62 / $300.83	Facility		$246.95	$296.62	$300.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $224.19 / $448.38	Facility		$190.19	$224.19	$448.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89