Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $12,590.60	Facility		$5,351.02	$5,351.02	$12,590.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,351.02 / $5,351.02	Professional		$5,225.12	$5,351.02	$5,351.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,760.20 / $7,140.30 / $13,804.58	Facility		$4,760.20	$7,140.30	$13,804.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $6,295.32	Professional		$5,351.02	$5,351.02	$6,295.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $10,702.04 / $18,038.72	Facility		$5,351.02	$10,702.04	$18,038.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,515.87 / $79,999.20 / $79,999.20	Facility		$7,515.87	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,381.18 / $7,788.77 / $13,630.36	Facility		$4,381.18	$7,788.77	$13,630.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,847.39 / $5,665.79 / $6,295.32	Professional		$4,847.39	$5,665.79	$6,295.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,760.20 / $5,712.24 / $11,436.07	Facility		$4,760.20	$5,712.24	$11,436.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,011.25 / $8,011.25 / $8,011.25	Facility		$8,011.25	$8,011.25	$8,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,351.02	Professional		$5,246.10	$5,246.10	$5,351.02