Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $492.61 / $793.81	Facility		$423.33	$492.61	$793.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $423.33 / $461.78	Professional		$384.85	$423.33	$461.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $366.67 / $550.01 / $1,063.33	Facility		$366.67	$550.01	$1,063.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $423.34 / $508.01	Professional		$423.34	$423.34	$508.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $763.00	Facility		$363.06	$363.06	$763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $471.98	Professional		$384.85	$384.85	$471.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $477.05 / $1,144.92	Facility		$381.64	$477.05	$1,144.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.35 / $601.04 / $1,051.83	Facility		$336.35	$601.04	$1,051.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.88 / $479.59 / $508.01	Professional		$397.88	$479.59	$508.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $366.67 / $492.15 / $1,063.33	Facility		$366.67	$492.15	$1,063.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $423.34 / $423.34	Professional		$423.34	$423.34	$423.34
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $461.82	Professional		$384.85	$384.85	$461.82