Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.17 / $8,090.95 / $14,557.50	Facility		$2,108.17	$8,090.95	$14,557.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.14 / $2,085.98 / $2,108.17	Professional		$1,176.14	$2,085.98	$2,108.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,330.09 / $3,641.59 / $10,540.87	Facility		$2,330.09	$3,641.59	$10,540.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.71 / $1,819.69 / $4,537.87	Professional		$1,242.71	$1,819.69	$4,537.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,307.89 / $4,543.64 / $5,730.05	Facility		$2,307.89	$4,543.64	$5,730.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $2,549.86 / $3,187.33	Professional		$2,549.86	$2,549.86	$3,187.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $2,219.13 / $3,106.78	Facility		$2,219.13	$2,219.13	$3,106.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $3,328.70 / $6,102.61	Facility		$2,219.13	$3,328.70	$6,102.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.26 / $2,330.09 / $3,151.16	Professional		$1,886.26	$2,330.09	$3,151.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,330.09 / $3,641.59 / $6,102.61	Facility		$2,330.09	$3,641.59	$6,102.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,008.82 / $4,336.09 / $6,256.31	Professional		$2,008.82	$4,336.09	$6,256.31
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $932.03 / $2,219.13	Professional		$932.03	$932.03	$2,219.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $998.61 / $998.61 / $1,149.51	Professional		$998.61	$998.61	$1,149.51