Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $711.64 / $1,188.73	Facility		$431.30	$711.64	$1,188.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $427.66 / $568.53	Professional		$392.08	$427.66	$568.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $620.53 / $1,973.75	Facility		$392.09	$620.53	$1,973.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $393.87 / $471.86	Professional		$391.64	$393.87	$471.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $788.82	Facility		$369.90	$392.09	$788.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $480.87	Professional		$392.09	$392.09	$480.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $393.87 / $433.85	Professional		$352.88	$393.87	$433.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $451.28 / $1,176.27	Facility		$392.09	$451.28	$1,176.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $600.25 / $1,093.68	Facility		$391.43	$600.25	$1,093.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $428.82 / $764.42	Professional		$391.64	$428.82	$764.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $474.29 / $880.00	Facility		$392.09	$474.29	$880.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $450.90	Professional		$392.09	$392.09	$450.90
United Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $392.09 / $392.09	Professional		$333.28	$392.09	$392.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09