Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.67 / $1,337.79 / $2,171.81	Facility		$1,149.67	$1,337.79	$2,171.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,149.67 / $1,265.50	Professional		$1,045.15	$1,149.67	$1,265.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,584.59 / $3,063.53	Facility		$1,045.15	$1,584.59	$3,063.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,114.38 / $1,584.00	Professional		$1,045.15	$1,114.38	$1,584.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $985.99 / $2,087.10	Facility		$985.99	$985.99	$2,087.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,281.79	Professional		$1,045.15	$1,045.15	$1,281.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,305.18 / $2,526.98	Facility		$1,044.14	$1,305.18	$2,526.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.87 / $1,459.32 / $2,553.81	Facility		$820.87	$1,459.32	$2,553.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.79 / $1,114.38 / $1,584.00	Professional		$1,007.79	$1,114.38	$1,584.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,274.33 / $3,063.53	Facility		$1,045.15	$1,274.33	$3,063.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,721.86 / $1,721.86 / $1,721.86	Facility		$1,721.86	$1,721.86	$1,721.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15