Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $2,925.98 / $196,696.02	Facility		$1,243.54	$2,925.98	$196,696.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,243.54 / $1,243.54	Professional		$1,214.28	$1,243.54	$1,243.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.92 / $1,816.89 / $3,512.65	Facility		$1,178.92	$1,816.89	$3,512.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.32 / $1,243.54 / $1,462.99	Professional		$1,207.32	$1,243.54	$1,462.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $2,414.64 / $4,250.00	Facility		$1,243.54	$2,414.64	$4,250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,652.31 / $79,999.20 / $79,999.20	Facility		$1,652.31	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.69 / $1,875.00 / $3,281.25	Facility		$1,054.69	$1,875.00	$3,281.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.69 / $1,278.33 / $1,420.38	Professional		$1,093.69	$1,278.33	$1,420.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,211.26 / $1,453.51 / $2,745.60	Facility		$1,211.26	$1,453.51	$2,745.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,462.99	Professional		$1,219.16	$1,219.16	$1,462.99