Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $730.33 / $1,339.92 / $2,563.12	Facility		$730.33	$1,339.92	$2,563.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $850.51 / $1,246.35	Professional		$450.00	$850.51	$1,246.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $371.73 / $371.73	Professional		$371.73	$371.73	$371.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.20 / $468.45 / $502.20	Facility		$421.20	$468.45	$502.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $589.35 / $627.91	Facility		$589.35	$589.35	$627.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $962.74 / $1,246.35	Professional		$627.91	$962.74	$1,246.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,023.49 / $1,339.92 / $2,563.12	Facility		$1,023.49	$1,339.92	$2,563.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $635.09 / $1,163.54	Professional		$489.81	$635.09	$1,163.54