Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.02 / $2,789.83 / $3,763.64	Facility		$1,851.02	$2,789.83	$3,763.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,989.51 / $2,193.05	Professional		$1,808.65	$1,989.51	$2,193.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,807.87 / $2,718.21 / $5,255.21	Facility		$1,807.87	$2,718.21	$5,255.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,916.79 / $2,108.21	Professional		$1,808.65	$1,916.79	$2,108.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $1,706.27 / $4,399.22	Facility		$1,706.27	$1,706.27	$4,399.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,218.15	Professional		$1,808.65	$1,808.65	$2,218.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,260.81 / $3,763.64	Facility		$1,808.65	$2,260.81	$3,763.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.01 / $2,892.60 / $5,062.04	Facility		$1,609.01	$2,892.60	$5,062.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,779.88 / $1,968.13 / $2,108.21	Professional		$1,779.88	$1,968.13	$2,108.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,174.57 / $4,034.73	Facility		$1,808.65	$2,174.57	$4,034.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,108.21	Professional		$1,808.65	$1,808.65	$2,108.21