Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,975.28 / $2,975.95 / $3,986.91	Professional		$2,975.28	$2,975.95	$3,986.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $26,705.78 / $26,705.78	Facility		$521.16	$26,705.78	$26,705.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,293.48 / $3,892.28 / $6,547.09	Professional		$3,293.48	$3,892.28	$6,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.69 / $3,107.57 / $3,655.97	Professional		$441.69	$3,107.57	$3,655.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $595.19 / $4,612.20	Professional		$60.00	$595.19	$4,612.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,724.50 / $9,178.94 / $10,108.95	Facility		$4,724.50	$9,178.94	$10,108.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,298.40 / $9,967.43 / $10,108.95	Professional		$8,298.40	$9,967.43	$10,108.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $521.16 / $521.16	Facility		$521.16	$521.16	$521.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.04 / $5,381.85 / $6,684.26	Professional		$1,048.04	$5,381.85	$6,684.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $401.90 / $401.90 / $489.35	Professional		$401.90	$401.90	$489.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.37 / $1,878.68 / $3,210.20	Professional		$1,685.37	$1,878.68	$3,210.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,964.70 / $2,964.70 / $3,799.00	Professional		$2,964.70	$2,964.70	$3,799.00