Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.78 / $762.78 / $762.78	Facility		$762.78	$762.78	$762.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.95 / $762.78 / $1,146.42	Professional		$698.95	$762.78	$1,146.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $6,756.10 / $6,756.10	Facility		$133.87	$6,756.10	$6,756.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $910.04 / $1,018.78 / $1,771.98	Professional		$910.04	$1,018.78	$1,771.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $748.94 / $881.10	Professional		$121.82	$748.94	$881.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,099.35 / $2,521.59 / $2,557.39	Facility		$2,099.35	$2,521.59	$2,557.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,099.35 / $2,521.59 / $2,557.39	Professional		$2,099.35	$2,521.59	$2,557.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $133.87 / $133.87	Facility		$133.87	$133.87	$133.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.61 / $1,316.48 / $2,698.78	Professional		$1,153.61	$1,316.48	$2,698.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $133.52 / $162.57	Professional		$133.52	$133.52	$162.57
United Facility/Professional Professional Modifier Low / Median / High Price $721.04 / $826.52 / $1,377.54	Professional		$721.04	$826.52	$1,377.54