Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.01 / $7,568.37 / $13,617.20	Facility		$1,972.01	$7,568.37	$13,617.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.18 / $1,951.25 / $1,972.01	Professional		$1,100.18	$1,951.25	$1,972.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,179.59 / $3,632.65 / $9,860.04	Facility		$2,179.59	$3,632.65	$9,860.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $1,594.21 / $2,698.54	Professional		$12.34	$1,594.21	$2,698.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.83 / $4,250.20 / $5,359.98	Facility		$2,158.83	$4,250.20	$5,359.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $2,075.80 / $2,906.12	Facility		$2,075.80	$2,075.80	$2,906.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $3,113.70 / $5,708.45	Facility		$2,075.80	$3,113.70	$5,708.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.43 / $2,179.59 / $2,947.64	Professional		$1,764.43	$2,179.59	$2,947.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,179.59 / $3,406.39 / $5,708.45	Facility		$2,179.59	$3,406.39	$5,708.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,879.09 / $2,532.32 / $5,851.86	Professional		$1,879.09	$2,532.32	$5,851.86
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $871.84 / $2,075.80	Professional		$871.84	$871.84	$2,075.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.11 / $934.11 / $1,075.26	Professional		$934.11	$934.11	$1,075.26