Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.20 / $725.28 / $1,173.59	Professional		$543.20	$725.28	$1,173.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $4,925.89 / $4,925.89	Facility		$127.25	$4,925.89	$4,925.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $854.61 / $1,900.00	Professional		$205.04	$854.61	$1,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $694.10 / $1,099.98	Professional		$96.84	$694.10	$1,099.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.65 / $1,838.51 / $2,108.59	Facility		$1,530.65	$1,838.51	$2,108.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,530.65 / $1,838.51 / $1,864.61	Professional		$1,530.65	$1,838.51	$1,864.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $127.25	Facility		$127.25	$127.25	$127.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $925.31 / $2,564.29	Professional		$92.53	$925.31	$2,564.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $168.40 / $205.04	Professional		$168.40	$168.40	$205.04
United Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $598.58 / $843.41	Professional		$506.05	$598.58	$843.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $854.61 / $1,356.16	Professional		$854.61	$854.61	$1,356.16