Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $8,361.11	Facility		$1,857.07	$1,857.07	$8,361.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $2,841.31	Professional		$1,857.06	$1,857.07	$2,841.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $543.49 / $2,184.79	Facility		$339.68	$543.49	$2,184.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.38 / $1,813.38 / $2,184.79	Professional		$1,813.38	$1,813.38	$2,184.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.68 / $2,039.14 / $6,712.40	Facility		$1,745.68	$2,039.14	$6,712.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $1,310.31 / $3,275.77	Professional		$50.00	$1,310.31	$3,275.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,180.19 / $1,180.19 / $1,968.21	Facility		$1,180.19	$1,180.19	$1,968.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.70 / $594.44 / $1,188.88	Facility		$305.70	$594.44	$1,188.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,769.68 / $2,075.55 / $2,294.03	Professional		$1,769.68	$2,075.55	$2,294.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $509.52 / $1,813.38	Facility		$339.68	$509.52	$1,813.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,813.38 / $1,813.38 / $1,813.38	Professional		$1,813.38	$1,813.38	$1,813.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $2,250.34	Professional		$1,875.28	$2,119.07	$2,250.34