Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.88 / $678.26 / $1,107.77	Facility		$582.88	$678.26	$1,107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $582.88 / $727.69	Professional		$529.89	$582.88	$727.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $527.13 / $790.70 / $1,528.68	Facility		$527.13	$790.70	$1,528.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $555.66 / $617.89	Professional		$529.89	$555.66	$617.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $1,049.14	Facility		$499.90	$499.90	$1,049.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $649.86	Professional		$529.89	$529.89	$649.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $662.36 / $1,589.67	Facility		$529.89	$662.36	$1,589.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $846.40 / $1,481.20	Facility		$476.10	$846.40	$1,481.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.98 / $570.54 / $605.28	Professional		$515.98	$570.54	$605.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $527.13 / $632.55 / $1,222.91	Facility		$527.13	$632.55	$1,222.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89