Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.10 / $1,871.10 / $3,013.29	Professional		$1,665.10	$1,871.10	$3,013.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $328.34 / $3,744.63	Facility		$100.00	$328.34	$3,744.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.10 / $2,583.84 / $4,535.39	Professional		$1,521.10	$2,583.84	$4,535.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $2,053.86 / $2,416.31	Professional		$288.01	$2,053.86	$2,416.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Facility		$328.34	$328.34	$328.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.73 / $2,626.50 / $6,618.01	Professional		$299.73	$2,626.50	$6,618.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $376.67 / $376.67 / $458.63	Professional		$376.67	$376.67	$458.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $1,458.04 / $2,359.40	Professional		$1,228.59	$1,458.04	$2,359.40