Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.96 / $893.26 / $1,213.10	Facility		$544.96	$893.26	$1,213.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $547.95 / $684.09	Professional		$498.14	$547.95	$684.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $488.70 / $733.05 / $1,514.97	Facility		$488.70	$733.05	$1,514.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $521.63 / $581.37	Professional		$498.14	$521.63	$581.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $1,197.17	Facility		$469.94	$469.94	$1,197.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $610.91	Professional		$498.14	$498.14	$610.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $622.25 / $1,494.42	Facility		$497.80	$622.25	$1,494.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.85 / $785.52 / $1,374.65	Facility		$441.85	$785.52	$1,374.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.37 / $535.60 / $568.20	Professional		$484.37	$535.60	$568.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $488.70 / $586.44 / $1,220.59	Facility		$488.70	$586.44	$1,220.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14