Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.25 / $2,061.00 / $3,378.33	Professional		$1,722.25	$2,061.00	$3,378.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $361.66 / $4,264.28	Facility		$100.00	$361.66	$4,264.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $522.20 / $2,852.72 / $5,141.14	Professional		$522.20	$2,852.72	$5,141.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $2,270.91 / $3,645.00	Professional		$318.45	$2,270.91	$3,645.00
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 $361.66 / $361.66 / $361.66	Facility		$361.66	$361.66	$361.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.58 / $3,335.50 / $4,137.10	Professional		$383.58	$3,335.50	$4,137.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $428.88 / $428.88 / $522.20	Professional		$428.88	$428.88	$522.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,660.16 / $2,614.07	Professional		$1,361.32	$1,660.16	$2,614.07