Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.59 / $3,722.26 / $7,095.56	Facility		$2,011.59	$3,722.26	$7,095.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $2,011.59 / $3,871.15	Professional		$1,828.72	$2,011.59	$3,871.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,894.15 / $2,841.23 / $5,560.29	Facility		$1,894.15	$2,841.23	$5,560.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,930.75 / $3,837.60	Professional		$1,828.72	$1,930.75	$3,837.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.20 / $1,725.20 / $4,315.63	Facility		$1,725.20	$1,725.20	$4,315.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $2,242.76	Professional		$1,828.71	$1,828.71	$2,242.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $2,285.90 / $3,862.73	Facility		$1,828.71	$2,285.90	$3,862.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,754.93 / $3,185.21 / $5,459.77	Facility		$1,754.93	$3,185.21	$5,459.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.07 / $1,930.75 / $3,837.60	Professional		$1,746.07	$1,930.75	$3,837.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,894.15 / $2,438.48 / $5,560.29	Facility		$1,894.15	$2,438.48	$5,560.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72