Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.96 / $3,853.48 / $7,797.67	Facility		$2,327.96	$3,853.48	$7,797.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,351.23 / $3,802.70	Professional		$2,116.32	$2,351.23	$3,802.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.49 / $3,098.76 / $5,990.94	Facility		$2,001.49	$3,098.76	$5,990.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,184.96 / $2,426.55	Professional		$2,116.32	$2,184.96	$2,426.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $1,996.53 / $5,014.68	Facility		$1,996.53	$1,996.53	$5,014.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,595.48	Professional		$2,116.32	$2,116.32	$2,595.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,641.55 / $6,348.96	Facility		$2,113.23	$2,641.55	$6,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.05 / $3,233.87 / $5,659.28	Facility		$1,819.05	$3,233.87	$5,659.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.89 / $2,243.48 / $2,380.05	Professional		$2,028.89	$2,243.48	$2,380.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,001.49 / $2,479.01 / $4,599.59	Facility		$2,001.49	$2,479.01	$4,599.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32