Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.98 / $929.24 / $1,261.98	Facility		$571.98	$929.24	$1,261.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $582.17 / $726.83	Professional		$529.25	$582.17	$726.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $520.99 / $781.49 / $1,667.17	Facility		$520.99	$781.49	$1,667.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $571.07 / $1,380.00	Professional		$529.26	$571.07	$1,380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $499.30 / $1,276.47	Facility		$499.30	$499.30	$1,276.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $649.09	Professional		$529.26	$529.26	$649.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $655.03 / $1,587.78	Facility		$524.02	$655.03	$1,587.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.56 / $870.26 / $1,392.41	Facility		$447.56	$870.26	$1,392.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $571.07 / $1,380.00	Professional		$516.44	$571.07	$1,380.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $520.99 / $651.24 / $1,615.07	Facility		$520.99	$651.24	$1,615.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26