Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.66 / $1,083.66 / $1,083.66	Facility		$1,083.66	$1,083.66	$1,083.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.60 / $1,083.66 / $1,800.99	Professional		$983.60	$1,083.66	$1,800.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.16 / $9,600.49 / $9,600.49	Facility		$190.16	$9,600.49	$9,600.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.60 / $1,523.21 / $2,629.97	Professional		$1,305.60	$1,523.21	$2,629.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $1,491.30 / $2,310.00	Professional		$172.35	$1,491.30	$2,310.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,587.81 / $3,299.74 / $3,634.08	Facility		$2,587.81	$3,299.74	$3,634.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,983.20 / $3,583.20 / $3,634.08	Professional		$2,983.20	$3,583.20	$3,634.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.16 / $190.16 / $190.16	Facility		$190.16	$190.16	$190.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $1,726.41 / $1,779.80	Professional		$172.64	$1,726.41	$1,779.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.15 / $220.15 / $268.05	Professional		$220.15	$220.15	$268.05
United Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $992.09 / $1,570.80	Facility		$117.36	$992.09	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $993.47 / $1,097.30 / $1,655.79	Professional		$993.47	$1,097.30	$1,655.79