Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.58 / $850.34 / $1,154.83	Facility		$449.58	$850.34	$1,154.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $449.58 / $526.79	Professional		$439.00	$449.58	$526.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $246.33 / $369.50 / $738.99	Facility		$246.33	$369.50	$738.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $528.91 / $704.41	Professional		$528.91	$528.91	$704.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $1,707.68	Facility		$426.92	$426.92	$1,707.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $523.58	Professional		$426.92	$426.92	$523.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $488.86 / $495.80	Facility		$407.00	$488.86	$495.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $369.50 / $702.04	Facility		$307.91	$369.50	$702.04
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $528.91 / $588.79	Professional		$528.91	$528.91	$588.79