Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.35 / $3,613.17 / $17,886.48	Facility		$1,903.35	$3,613.17	$17,886.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,903.36 / $3,530.61	Professional		$1,730.31	$1,903.36	$3,530.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.60 / $2,510.90 / $4,854.39	Facility		$1,564.60	$2,510.90	$4,854.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.29 / $1,903.35 / $2,161.33	Professional		$1,808.29	$1,903.35	$2,161.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,632.38 / $4,041.94	Facility		$1,632.38	$1,632.38	$4,041.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,122.10	Professional		$1,730.32	$1,730.32	$2,122.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $2,162.90 / $3,613.17	Facility		$1,730.32	$2,162.90	$3,613.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,392.50 / $2,503.37 / $4,380.89	Facility		$1,392.50	$2,503.37	$4,380.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,635.33 / $1,808.29 / $2,058.41	Professional		$1,635.33	$1,808.29	$2,058.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,543.52 / $1,929.40 / $3,727.01	Facility		$1,543.52	$1,929.40	$3,727.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,903.35 / $1,903.35 / $1,903.35	Professional		$1,903.35	$1,903.35	$1,903.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,925.21 / $3,925.21 / $3,925.21	Facility		$3,925.21	$3,925.21	$3,925.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,076.38	Professional		$1,730.32	$1,730.32	$2,076.38