Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.37 / $650.21 / $17,517.27	Facility		$410.37	$650.21	$17,517.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $415.27 / $455.54	Professional		$377.51	$415.27	$455.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $357.36 / $556.35 / $1,075.60	Facility		$357.36	$556.35	$1,075.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $390.91 / $442.80	Professional		$377.52	$390.91	$442.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $369.97 / $740.92	Facility		$356.15	$369.97	$740.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $463.00	Professional		$377.52	$377.52	$463.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $470.60 / $1,132.56	Facility		$376.48	$470.60	$1,132.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.87 / $587.63 / $1,028.34	Facility		$326.87	$587.63	$1,028.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.99 / $401.38 / $429.81	Professional		$362.99	$401.38	$429.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $357.36 / $445.08 / $825.81	Facility		$357.36	$445.08	$825.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
United Facility/Professional Facility Modifier Low / Median / High Price $870.58 / $870.58 / $870.58	Facility		$870.58	$870.58	$870.58
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $438.37	Professional		$377.52	$377.52	$438.37