Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,454.57 / $10,903.10 / $13,827.70	Facility		$6,454.57	$10,903.10	$13,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $7,049.21 / $8,727.29	Professional		$6,408.38	$7,049.21	$8,727.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.65 / $9,464.48 / $18,297.99	Facility		$6,309.65	$9,464.48	$18,297.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,428.48 / $7,793.55	Professional		$6,408.38	$6,428.48	$7,793.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,045.64 / $14,753.94	Facility		$6,045.64	$6,045.64	$14,753.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $7,859.33	Professional		$6,408.38	$6,408.38	$7,859.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $7,992.03 / $13,425.51	Facility		$6,408.38	$7,992.03	$13,425.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,742.72 / $10,324.00 / $18,066.99	Facility		$5,742.72	$10,324.00	$18,066.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,969.31 / $6,600.68 / $7,793.55	Professional		$5,969.31	$6,600.68	$7,793.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,708.59 / $7,421.17 / $14,048.44	Facility		$5,708.59	$7,421.17	$14,048.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38