Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.01 / $830.92 / $1,023.15	Facility		$462.01	$830.92	$1,023.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.58 / $595.20	Professional		$474.83	$479.58	$595.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $413.59 / $687.77 / $1,329.68	Facility		$413.59	$687.77	$1,329.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $522.16 / $1,034.44	Professional		$474.84	$522.16	$1,034.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $474.84 / $943.26	Facility		$447.96	$474.84	$943.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $582.35	Professional		$474.84	$474.84	$582.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $593.54 / $1,424.52	Facility		$474.84	$593.54	$1,424.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.09 / $686.55 / $1,158.04	Facility		$368.09	$686.55	$1,158.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.21 / $522.16 / $1,034.44	Professional		$472.21	$522.16	$1,034.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $382.39 / $497.11 / $1,020.87	Facility		$382.39	$497.11	$1,020.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $569.80	Professional		$474.84	$474.84	$569.80