Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.36 / $1,335.36 / $1,335.36	Facility		$1,335.36	$1,335.36	$1,335.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,335.36 / $2,460.96	Professional		$1,217.00	$1,335.36	$2,460.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,481.87 / $9,481.87	Facility		$100.00	$9,481.87	$9,481.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $440.08 / $1,855.85 / $4,100.00	Professional		$440.08	$1,855.85	$4,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $257.83 / $2,887.50	Professional		$209.32	$257.83	$2,887.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Facility		$2,946.35	$3,538.94	$3,589.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,946.35 / $3,538.94 / $3,589.19	Professional		$2,946.35	$3,538.94	$3,589.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.25 / $234.25 / $234.25	Facility		$234.25	$234.25	$234.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $1,491.07 / $4,719.17	Professional		$201.73	$1,491.07	$4,719.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $361.43 / $361.43 / $440.08	Professional		$361.43	$361.43	$440.08
United Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $216.18 / $2,273.51	Professional		$129.71	$216.18	$2,273.51