Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.13 / $3,388.38 / $8,046.67	Facility		$1,398.13	$3,388.38	$8,046.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $1,398.13 / $2,369.53	Professional		$58.00	$1,398.13	$2,369.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.74 / $2,440.77 / $7,065.01	Facility		$1,561.74	$2,440.77	$7,065.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $594.95 / $1,338.63 / $2,414.44	Professional		$594.95	$1,338.63	$2,414.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,546.86 / $3,045.39 / $3,867.16	Facility		$1,546.86	$3,045.39	$3,867.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $1,708.99 / $2,136.23	Professional		$786.20	$1,708.99	$2,136.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $3,283.37	Facility		$1,487.37	$1,487.37	$3,283.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $2,231.06 / $4,090.27	Facility		$1,487.37	$2,231.06	$4,090.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,561.74 / $2,112.07	Professional		$1,264.26	$1,561.74	$2,112.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,561.74 / $2,440.77 / $4,090.27	Facility		$1,561.74	$2,440.77	$4,090.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,487.37 / $4,013.16	Professional		$1,115.53	$1,487.37	$4,013.16
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $624.70 / $1,665.85	Professional		$624.70	$624.70	$1,665.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.32 / $669.32 / $770.46	Professional		$669.32	$669.32	$770.46