Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,252.21 / $3,378.32 / $6,981.85	Facility		$2,252.21	$3,378.32	$6,981.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $2,463.21 / $2,736.91	Professional		$227.70	$2,463.21	$2,736.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $5,108.89 / $6,753.36	Facility		$2,554.44	$5,108.89	$6,753.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $203.47 / $780.00	Facility		$169.40	$203.47	$780.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,007.80 / $3,722.32 / $6,316.66	Facility		$2,007.80	$3,722.32	$6,316.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,121.44 / $2,488.13 / $2,750.03	Professional		$2,121.44	$2,488.13	$2,750.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,252.21 / $2,702.65 / $5,014.55	Facility		$2,252.21	$2,702.65	$5,014.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,463.21 / $2,463.21 / $2,463.21	Professional		$2,463.21	$2,463.21	$2,463.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,654.57 / $2,819.02	Professional		$2,349.17	$2,654.57	$2,819.02