Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.25 / $1,099.45 / $4,021.66	Facility		$700.25	$1,099.45	$4,021.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $696.42 / $2,553.23	Professional		$636.59	$696.42	$2,553.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $651.85 / $977.78 / $2,000.23	Facility		$651.85	$977.78	$2,000.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,800.00	Professional		$636.59	$636.59	$1,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $600.55 / $1,369.28	Facility		$600.55	$600.55	$1,369.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $780.72	Professional		$636.59	$636.59	$780.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $720.67 / $1,909.77	Facility		$528.58	$720.67	$1,909.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.92 / $1,185.84 / $2,000.23	Facility		$642.92	$1,185.84	$2,000.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $612.59 / $1,800.00	Professional		$554.00	$612.59	$1,800.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $651.85 / $900.58 / $1,890.37	Facility		$651.85	$900.58	$1,890.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59