Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.22 / $552.99 / $907.94	Facility		$475.22	$552.99	$907.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $475.22 / $544.34	Professional		$432.02	$475.22	$544.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $399.33 / $599.00 / $1,251.03	Facility		$399.33	$599.00	$1,251.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $587.96	Professional		$432.02	$432.02	$587.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $898.60	Facility		$407.57	$407.57	$898.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $529.84	Professional		$432.02	$432.02	$529.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $540.03 / $1,296.06	Facility		$432.02	$540.03	$1,296.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $714.88 / $1,251.03	Facility		$402.12	$714.88	$1,251.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $428.13 / $587.96	Professional		$387.18	$428.13	$587.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $399.33 / $499.16 / $975.93	Facility		$399.33	$499.16	$975.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $518.41	Professional		$432.02	$432.02	$518.41