Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,508.08 / $11,569.20 / $17,764.30	Facility		$3,508.08	$11,569.20	$17,764.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.64 / $1,318.64 / $2,114.80	Professional		$1,318.64	$1,318.64	$2,114.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,612.40 / $4,082.81 / $11,818.00	Facility		$2,612.40	$4,082.81	$11,818.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $2,239.19 / $4,861.14	Professional		$358.80	$2,239.19	$4,861.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,587.52 / $5,094.18 / $6,424.33	Facility		$2,587.52	$5,094.18	$6,424.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,239.19 / $2,736.80 / $4,354.00	Facility		$2,239.19	$2,736.80	$4,354.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $3,732.00 / $6,842.00	Facility		$2,488.00	$3,732.00	$6,842.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,114.80 / $2,612.40 / $3,532.96	Professional		$2,114.80	$2,612.40	$3,532.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,612.40 / $4,082.81 / $6,842.00	Facility		$2,612.40	$4,082.81	$6,842.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.00 / $2,488.00 / $6,713.15	Professional		$1,866.00	$2,488.00	$6,713.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,044.96 / $2,488.00	Professional		$1,044.96	$1,044.96	$2,488.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,119.59 / $1,119.59 / $1,288.78	Professional		$1,119.59	$1,119.59	$1,288.78