Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.34 / $1,351.61 / $1,664.31	Facility		$814.34	$1,351.61	$1,664.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $875.70 / $1,080.20	Professional		$796.09	$875.70	$1,080.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $743.66 / $1,191.17 / $3,356.12	Facility		$743.66	$1,191.17	$3,356.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $764.25 / $800.15 / $948.84	Professional		$764.25	$800.15	$948.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $751.03 / $1,520.80	Facility		$751.03	$751.03	$1,520.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $968.44	Professional		$796.09	$796.09	$968.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.27 / $796.09 / $1,504.61	Facility		$725.27	$796.09	$1,504.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.66 / $743.66 / $803.18	Facility		$743.66	$743.66	$803.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $824.69 / $1,470.10	Professional		$743.66	$824.69	$1,470.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $796.09 / $946.30	Facility		$796.09	$796.09	$946.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $915.50	Professional		$796.09	$796.09	$915.50
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $796.09	Professional		$318.44	$796.09	$796.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $796.09	Professional		$796.09	$796.09	$796.09