Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,124.44 / $3,124.44 / $3,124.44	Facility		$3,124.44	$3,124.44	$3,124.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.35 / $3,124.44 / $5,125.50	Professional		$2,866.35	$3,124.44	$5,125.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $548.33 / $21,533.82 / $21,533.82	Facility		$548.33	$21,533.82	$21,533.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.00 / $4,417.96 / $7,394.11	Professional		$2,740.00	$4,417.96	$7,394.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,344.98 / $6,495.00	Professional		$462.00	$3,344.98	$6,495.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $555.15 / $555.15	Professional		$60.00	$555.15	$555.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,691.30 / $7,401.31 / $8,151.22	Facility		$6,691.30	$7,401.31	$8,151.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,691.30 / $8,037.10 / $8,151.22	Professional		$6,691.30	$8,037.10	$8,151.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.33 / $548.33 / $548.33	Facility		$548.33	$548.33	$548.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.80 / $4,581.33 / $5,389.80	Professional		$522.80	$4,581.33	$5,389.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.77 / $581.77 / $708.36	Professional		$581.77	$581.77	$708.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,634.40 / $2,899.80 / $4,610.18	Professional		$2,634.40	$2,899.80	$4,610.18