Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,199.00 / $7,545.70 / $7,847.53	Facility		$4,199.00	$7,545.70	$7,847.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,199.00 / $4,565.14	Professional		$3,817.28	$4,199.00	$4,565.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,227.36 / $5,149.13 / $9,954.98	Facility		$3,227.36	$5,149.13	$9,954.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,790.60 / $3,817.28 / $4,459.53	Professional		$3,790.60	$3,817.28	$4,459.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $7,012.08	Facility		$3,601.20	$3,601.20	$7,012.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,681.57	Professional		$3,817.28	$3,817.28	$4,681.57
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 $3,772.85 / $3,817.28 / $7,922.65	Facility		$3,772.85	$3,817.28	$7,922.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,904.62 / $5,163.77 / $9,036.60	Facility		$2,904.62	$5,163.77	$9,036.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,433.84 / $4,013.58 / $4,459.53	Professional		$3,433.84	$4,013.58	$4,459.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.71 / $4,084.57 / $7,643.02	Facility		$3,162.71	$4,084.57	$7,643.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,580.74	Professional		$3,817.28	$3,817.28	$4,580.74