Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.20 / $1,591.20 / $1,591.20	Facility		$1,591.20	$1,591.20	$1,591.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,591.20 / $2,863.71	Professional		$1,217.00	$1,591.20	$2,863.71
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 $1,491.07 / $1,924.95 / $5,229.42	Professional		$1,491.07	$1,924.95	$5,229.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,132.67 / $3,685.49	Professional		$218.45	$3,132.67	$3,685.49
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 $279.06 / $279.06 / $279.06	Facility		$279.06	$279.06	$279.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,491.07 / $1,491.07 / $2,017.33	Professional		$1,491.07	$1,491.07	$2,017.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $499.66 / $499.66 / $608.39	Professional		$499.66	$499.66	$608.39
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $257.42 / $1,376.55	Professional		$154.44	$257.42	$1,376.55