Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.04 / $1,730.04 / $1,730.04	Facility		$1,730.04	$1,730.04	$1,730.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.04 / $1,806.45 / $2,877.12	Professional		$1,730.04	$1,806.45	$2,877.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $18,269.96 / $18,269.96	Facility		$303.04	$18,269.96	$18,269.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.25 / $2,360.00 / $3,664.44	Professional		$1,949.25	$2,360.00	$3,664.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $2,837.98 / $4,136.25	Professional		$302.14	$2,837.98	$4,136.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $346.09 / $346.09	Professional		$60.00	$346.09	$346.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,677.10 / $6,818.92 / $6,915.74	Facility		$5,677.10	$6,818.92	$6,915.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,677.10 / $6,818.92 / $6,915.74	Professional		$5,677.10	$6,818.92	$6,915.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $303.04 / $303.04	Facility		$303.04	$303.04	$303.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,872.83 / $3,091.01 / $6,094.09	Professional		$2,872.83	$3,091.01	$6,094.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.68 / $233.68 / $284.52	Professional		$233.68	$233.68	$284.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.35 / $1,713.46 / $2,855.77	Professional		$1,370.35	$1,713.46	$2,855.77