Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,098.85 / $8,075.12 / $10,336.50	Facility		$5,098.85	$8,075.12	$10,336.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,029.96 / $5,685.05 / $6,021.92	Professional		$5,029.96	$5,685.05	$6,021.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,763.87 / $7,166.16 / $13,854.58	Facility		$4,763.87	$7,166.16	$13,854.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,356.96 / $5,968.80	Professional		$5,168.22	$5,356.96	$5,968.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $4,875.68 / $12,294.70	Facility		$4,875.68	$4,875.68	$12,294.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $6,338.39	Professional		$5,168.22	$5,168.22	$6,338.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $6,210.73 / $10,749.92	Facility		$4,968.58	$6,210.73	$10,749.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,251.92 / $7,643.91 / $13,376.83	Facility		$4,251.92	$7,643.91	$13,376.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,974.32 / $5,500.45 / $5,835.26	Professional		$4,974.32	$5,500.45	$5,835.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,593.57 / $5,732.93 / $10,636.97	Facility		$4,593.57	$5,732.93	$10,636.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
United Facility/Professional Facility Modifier Low / Median / High Price $11,676.16 / $11,676.16 / $11,676.16	Facility		$11,676.16	$11,676.16	$11,676.16
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22