Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.20 / $1,576.20 / $1,576.20	Facility		$1,576.20	$1,576.20	$1,576.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.50 / $1,576.20 / $2,490.12	Professional		$1,557.50	$1,576.20	$2,490.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.68 / $17,045.09 / $17,045.09	Facility		$276.68	$17,045.09	$17,045.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.20 / $2,152.69 / $3,429.93	Professional		$1,505.20	$2,152.69	$3,429.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $1,657.50 / $1,950.00	Professional		$268.27	$1,657.50	$1,950.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $288.25 / $2,882.50	Professional		$235.84	$288.25	$2,882.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,183.40 / $5,296.50 / $6,361.77	Facility		$3,183.40	$5,296.50	$6,361.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,183.40 / $3,877.96 / $3,877.96	Professional		$3,183.40	$3,877.96	$3,877.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.68 / $276.68 / $276.68	Facility		$276.68	$276.68	$276.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.87 / $3,024.30 / $5,578.68	Professional		$557.87	$3,024.30	$5,578.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.82 / $230.82 / $281.05	Professional		$230.82	$230.82	$281.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.32 / $1,340.26 / $2,088.87	Professional		$1,253.32	$1,340.26	$2,088.87