Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.54 / $1,137.54 / $1,137.54	Facility		$1,137.54	$1,137.54	$1,137.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.55 / $1,137.54 / $1,902.51	Professional		$988.55	$1,137.54	$1,902.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $9,676.59 / $9,676.59	Facility		$199.60	$9,676.59	$9,676.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.98 / $1,550.10 / $2,750.00	Professional		$300.98	$1,550.10	$2,750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $1,503.13 / $2,340.00	Professional		$163.71	$1,503.13	$2,340.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,905.75 / $3,325.90 / $3,662.89	Facility		$2,905.75	$3,325.90	$3,662.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,006.85 / $3,611.61 / $3,662.89	Professional		$3,006.85	$3,611.61	$3,662.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $199.60 / $199.60	Facility		$199.60	$199.60	$199.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.50 / $2,058.50 / $2,283.23	Professional		$1,521.50	$2,058.50	$2,283.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.19 / $247.19 / $300.98	Professional		$247.19	$247.19	$300.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,232.08 / $1,847.79	Professional		$1,108.67	$1,232.08	$1,847.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,590.33 / $2,590.33 / $2,590.33	Professional		$2,590.33	$2,590.33	$2,590.33