Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.10 / $1,478.10 / $1,478.10	Facility		$1,478.10	$1,478.10	$1,478.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,478.10 / $2,681.37	Professional		$1,217.00	$1,478.10	$2,681.37
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 $1,632.61 / $1,924.95 / $4,754.30	Professional		$1,632.61	$1,924.95	$4,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $2,910.00	Professional		$192.51	$1,472.88	$2,910.00
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 $259.25 / $259.25 / $259.25	Facility		$259.25	$259.25	$259.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $1,754.20 / $5,222.00	Professional		$170.16	$1,754.20	$5,222.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $438.56 / $438.56 / $533.99	Professional		$438.56	$438.56	$533.99
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $238.74 / $2,334.26	Professional		$143.24	$238.74	$2,334.26