Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.40 / $1,985.82 / $3,184.83	Professional		$1,665.40	$1,985.82	$3,184.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $348.46 / $4,083.65	Facility		$100.00	$348.46	$4,083.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.42 / $2,655.12 / $4,546.60	Professional		$1,556.42	$2,655.12	$4,546.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Facility		$2,254.90	$2,254.90	$2,254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $2,254.90 / $3,230.73	Professional		$295.95	$2,254.90	$3,230.73
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 $348.46 / $348.46 / $348.46	Facility		$348.46	$348.46	$348.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,742.02 / $3,129.12 / $3,709.79	Professional		$2,742.02	$3,129.12	$3,709.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $410.75 / $410.75 / $500.13	Professional		$410.75	$410.75	$500.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.80 / $1,554.24 / $2,468.87	Professional		$1,285.80	$1,554.24	$2,468.87