Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $2,970.00	Facility		$1,262.25	$1,262.25	$2,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,262.25 / $1,277.09	Professional		$1,188.00	$1,262.25	$1,277.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.57 / $3,174.44 / $6,558.75	Facility		$1,408.57	$3,174.44	$6,558.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.50 / $1,262.25 / $2,164.38	Professional		$1,237.50	$1,262.25	$2,164.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,670.63	Professional		$1,262.25	$1,262.25	$1,670.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,807.49 / $79,999.20 / $79,999.20	Facility		$1,807.49	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.58 / $2,164.39 / $3,672.90	Facility		$1,180.58	$2,164.39	$3,672.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,261.86 / $1,408.57 / $3,114.79	Facility		$1,261.86	$1,408.57	$3,114.79