Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $1,870.18	Facility		$794.83	$794.83	$1,870.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.12 / $794.83 / $794.83	Professional		$776.12	$794.83	$794.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $751.91 / $1,152.33 / $2,381.48	Facility		$751.91	$1,152.33	$2,381.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $1,589.66	Facility		$794.83	$794.83	$1,589.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $79,999.20 / $79,999.20	Facility		$1,025.33	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.85 / $1,100.16 / $1,702.28	Facility		$631.85	$1,100.16	$1,702.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $751.91 / $960.28 / $1,710.44	Facility		$751.91	$960.28	$1,710.44