Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $7,310.00	Facility		$3,106.75	$3,106.75	$7,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,033.65 / $3,106.75 / $3,106.75	Professional		$3,033.65	$3,106.75	$3,106.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,932.00 / $5,313.72 / $15,731.30	Facility		$2,932.00	$5,313.72	$15,731.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $3,655.00 / $4,674.99	Professional		$3,106.75	$3,655.00	$4,674.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,695.08 / $7,695.08 / $7,695.08	Facility		$7,695.08	$7,695.08	$7,695.08
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 $3,932.86 / $79,999.20 / $79,999.20	Facility		$3,932.86	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.05 / $4,595.64 / $8,042.38	Facility		$2,585.05	$4,595.64	$8,042.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,814.35 / $3,289.50 / $3,655.00	Professional		$2,814.35	$3,289.50	$3,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83