Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.24 / $1,725.24 / $1,725.24	Facility		$1,725.24	$1,725.24	$1,725.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,725.24 / $3,097.44	Professional		$1,217.00	$1,725.24	$3,097.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,481.87 / $9,481.87	Facility		$100.00	$9,481.87	$9,481.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.00 / $1,804.54 / $4,964.67	Professional		$1,247.00	$1,804.54	$4,964.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.51 / $3,360.51 / $3,360.51	Facility		$3,360.51	$3,360.51	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $1,472.88 / $3,360.51	Professional		$1,472.88	$1,472.88	$3,360.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Facility		$2,946.35	$3,538.94	$3,589.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Professional		$2,946.35	$3,538.94	$3,589.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.54 / $302.54 / $302.54	Facility		$302.54	$302.54	$302.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.26 / $1,491.07 / $3,128.64	Professional		$609.26	$1,491.07	$3,128.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $572.09 / $572.09 / $696.58	Professional		$572.09	$572.09	$696.58
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $271.99 / $3,286.64	Professional		$163.19	$271.99	$3,286.64