Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $2,447.28	Facility		$1,040.08	$1,040.08	$2,447.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,040.08 / $1,040.08	Professional		$1,015.62	$1,040.08	$1,040.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $790.78 / $1,186.17 / $2,451.42	Facility		$790.78	$1,186.17	$2,451.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $679.32 / $1,040.08 / $1,143.58	Professional		$679.32	$1,040.08	$1,143.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,646.84 / $2,080.17	Facility		$1,040.08	$1,646.84	$2,080.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $957.19 / $79,999.20 / $79,999.20	Facility		$957.19	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.70 / $1,265.25 / $2,214.19	Facility		$711.70	$1,265.25	$2,214.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.56 / $1,029.23 / $1,143.58	Professional		$880.56	$1,029.23	$1,143.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $790.78 / $1,028.01 / $1,760.67	Facility		$790.78	$1,028.01	$1,760.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70