Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $7,250.48	Facility		$3,081.45	$3,081.45	$7,250.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,008.95 / $3,081.45 / $3,081.45	Professional		$3,008.95	$3,081.45	$3,081.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,685.42 / $4,028.13 / $8,324.79	Facility		$2,685.42	$4,028.13	$8,324.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,625.24	Professional		$3,081.45	$3,081.45	$3,625.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $6,162.90 / $9,207.64	Facility		$3,081.45	$6,162.90	$9,207.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,869.45 / $2,245.44 / $2,277.33	Facility		$1,869.45	$2,245.44	$2,277.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.85 / $4,429.39 / $7,751.44	Facility		$2,463.85	$4,429.39	$7,751.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,791.43 / $3,262.72 / $3,625.24	Professional		$2,791.43	$3,262.72	$3,625.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,685.42 / $3,222.50 / $5,979.09	Facility		$2,685.42	$3,222.50	$5,979.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04