Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.54 / $8,027.11 / $14,442.60	Facility		$2,091.54	$8,027.11	$14,442.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.85 / $2,069.53 / $2,091.54	Professional		$1,166.85	$2,069.53	$2,091.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,311.69 / $3,852.84 / $10,457.70	Facility		$2,311.69	$3,852.84	$10,457.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $1,690.84 / $2,862.11	Professional		$12.34	$1,690.84	$2,862.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.67 / $4,507.81 / $5,684.85	Facility		$2,289.67	$4,507.81	$5,684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.63 / $2,529.63 / $3,162.03	Professional		$2,529.63	$2,529.63	$3,162.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,201.62 / $2,201.62 / $3,082.27	Facility		$2,201.62	$2,201.62	$3,082.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,201.62 / $3,302.43 / $6,054.46	Facility		$2,201.62	$3,302.43	$6,054.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.38 / $2,311.69 / $3,126.30	Professional		$1,871.38	$2,311.69	$3,126.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,311.69 / $3,612.86 / $6,054.46	Facility		$2,311.69	$3,612.86	$6,054.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,993.00 / $2,685.83 / $6,206.58	Professional		$1,993.00	$2,685.83	$6,206.58
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $924.68 / $2,201.62	Professional		$924.68	$924.68	$2,201.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $990.73 / $990.73 / $1,140.44	Professional		$990.73	$990.73	$1,140.44