Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,588.40 / $1,683.06 / $2,685.06	Professional		$1,588.40	$1,683.06	$2,685.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $16,659.23 / $16,659.23	Facility		$107.10	$16,659.23	$16,659.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.46 / $2,245.57 / $4,292.64	Professional		$1,470.46	$2,245.57	$4,292.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $1,891.33 / $2,624.00	Professional		$274.97	$1,891.33	$2,624.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $5,949.60 / $6,217.76	Facility		$4,884.00	$5,949.60	$6,217.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,884.00 / $5,949.60 / $5,949.60	Professional		$4,884.00	$5,949.60	$5,949.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $295.38 / $295.38	Facility		$295.38	$295.38	$295.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,546.94 / $2,546.94 / $5,954.78	Professional		$2,546.94	$2,546.94	$5,954.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.25 / $294.25 / $358.28	Professional		$294.25	$294.25	$358.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.56 / $1,139.00 / $2,126.19	Professional		$1,106.56	$1,139.00	$2,126.19