Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,876.83 / $7,892.74 / $9,718.74	Facility		$4,876.83	$7,892.74	$9,718.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $5,155.54 / $5,663.03	Professional		$4,686.85	$5,155.54	$5,663.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,451.89 / $6,871.83 / $13,285.54	Facility		$4,451.89	$6,871.83	$13,285.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,921.22 / $5,580.42	Professional		$4,686.85	$4,921.22	$5,580.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,421.56 / $11,294.63	Facility		$4,421.56	$4,421.56	$11,294.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,748.03	Professional		$4,686.85	$4,686.85	$5,748.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $5,840.59 / $9,748.65	Facility		$4,672.47	$5,840.59	$9,748.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,028.64 / $7,162.02 / $12,533.54	Facility		$4,028.64	$7,162.02	$12,533.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,569.70 / $5,053.03 / $5,363.72	Professional		$4,569.70	$5,053.03	$5,363.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.08 / $5,497.46 / $10,200.09	Facility		$4,389.08	$5,497.46	$10,200.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,687.66	Professional		$4,686.85	$4,686.85	$4,687.66