Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,795.56 / $5,795.56 / $38,400.00	Facility		$5,795.56	$5,795.56	$38,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,917.56 / $5,795.56 / $16,320.00	Professional		$3,917.56	$5,795.56	$16,320.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,280.23 / $8,448.36 / $26,288.00	Facility		$5,280.23	$8,448.36	$26,288.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $19,200.00 / $27,984.00	Professional		$16,320.00	$19,200.00	$27,984.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $67,840.00	Facility		$16,320.00	$16,960.00	$67,840.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.13	Professional		$16,320.00	$16,960.00	$16,960.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15,264.00 / $16,960.00 / $18,656.00	Professional		$15,264.00	$16,960.00	$18,656.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,979.50 / $8,383.27 / $8,502.29	Facility		$6,979.50	$8,383.27	$8,502.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,806.40 / $16,806.40 / $16,806.40	Facility		$16,806.40	$16,806.40	$16,806.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,375.36 / $6,336.27 / $12,672.54	Facility		$5,375.36	$6,336.27	$12,672.54
United Facility/Professional Professional Modifier Low / Median / High Price $14,784.00 / $19,200.00 / $19,200.00	Professional		$14,784.00	$19,200.00	$19,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,320.00 / $16,320.00	Professional		$16,320.00	$16,320.00	$16,320.00