Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,555.63 / $5,655.10	Facility		$816.00	$1,555.63	$5,655.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $816.00 / $6,818.06	Professional		$796.80	$816.00	$6,818.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.50 / $1,682.99 / $3,430.30	Facility		$1,069.50	$1,682.99	$3,430.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $960.00 / $1,800.00	Professional		$816.00	$960.00	$1,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,770.34 / $10,518.08	Facility		$816.00	$2,770.34	$10,518.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,142.41 / $2,000.00	Professional		$800.00	$1,142.41	$2,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,069.28 / $4,247.25 / $79,999.20	Facility		$2,069.28	$4,247.25	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.55 / $1,764.67 / $3,100.62	Facility		$962.55	$1,764.67	$3,100.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.85 / $1,239.41 / $1,800.00	Professional		$1,120.85	$1,239.41	$1,800.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,366.44 / $3,430.30	Facility		$816.00	$1,366.44	$3,430.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,500.00	Professional		$800.00	$800.00	$1,500.00