Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $10,122.46 / $27,982.24	Facility		$116.37	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $116.37 / $130.49	Professional		$116.37	$116.37	$130.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,114.47 / $6,603.99 / $12,632.68	Facility		$4,114.47	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $221.40 / $315.67	Professional		$147.84	$221.40	$315.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,876.24 / $2,876.24 / $2,876.24	Facility		$2,876.24	$2,876.24	$2,876.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $1,487.40 / $2,338.58	Facility		$103.76	$1,487.40	$2,338.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $144.51 / $159.04	Facility		$144.51	$144.51	$159.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $238.38 / $315.67	Professional		$159.04	$238.38	$315.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.60 / $6,603.99 / $12,632.68	Facility		$4,899.60	$6,603.99	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $211.21 / $308.14	Professional		$147.84	$211.21	$308.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $4,818.00 / $11,261.00	Facility		$1,862.00	$4,818.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $166.40 / $316.81	Professional		$134.40	$166.40	$316.81