Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.26 / $1,127.58 / $1,172.68	Facility		$630.26	$1,127.58	$1,172.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $630.26 / $682.19	Professional		$572.96	$630.26	$682.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $449.49 / $719.19 / $1,394.84	Facility		$449.49	$719.19	$1,394.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $836.88	Professional		$572.96	$572.96	$836.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $540.53 / $1,293.74	Facility		$540.53	$540.53	$1,293.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $702.69	Professional		$572.96	$572.96	$702.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $648.63 / $1,718.88	Facility		$563.79	$648.63	$1,718.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.05 / $719.19 / $1,258.58	Facility		$400.05	$719.19	$1,258.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $686.44 / $762.71	Professional		$587.29	$686.44	$762.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $421.95 / $572.96 / $1,070.90	Facility		$421.95	$572.96	$1,070.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96