Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $780.09 / $1,118.42	Facility		$475.33	$780.09	$1,118.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $475.33 / $1,200.06	Professional		$464.14	$475.33	$1,200.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $18.07 / $1,131.19	Facility		$6.23	$18.07	$1,131.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $559.21 / $815.05	Professional		$475.33	$559.21	$815.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $475.33 / $1,673.48	Facility		$10.33	$475.33	$1,673.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.44 / $79,999.20 / $79,999.20	Facility		$564.44	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.19 / $790.35 / $1,383.12	Facility		$428.19	$790.35	$1,383.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.59 / $503.29 / $559.21	Professional		$430.59	$503.29	$559.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $9.97 / $642.16	Facility		$6.23	$9.97	$642.16
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Professional		$466.01	$466.01	$466.01