Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.08 / $10,122.46 / $27,982.24	Facility		$970.08	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $970.08 / $1,064.52	Professional		$577.60	$970.08	$1,064.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,761.07 / $11,522.14 / $22,040.55	Facility		$2,761.07	$11,522.14	$22,040.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.18 / $2,288.58 / $8,504.18	Professional		$1,336.18	$2,288.58	$8,504.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,196.89 / $6,991.97	Facility		$1,925.00	$4,196.89	$6,991.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.96 / $1,378.96 / $1,532.18	Professional		$1,378.96	$1,378.96	$1,532.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,322.83 / $5,279.98 / $17,227.13	Facility		$3,322.83	$5,279.98	$17,227.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,997.35 / $4,420.22 / $7,296.93	Professional		$2,997.35	$4,420.22	$7,296.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.67 / $3,756.56 / $5,483.45	Facility		$1,366.67	$3,756.56	$5,483.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.45 / $1,253.45 / $2,761.07	Facility		$1,253.45	$1,253.45	$2,761.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.75 / $2,118.48 / $2,643.29	Professional		$1,370.75	$2,118.48	$2,643.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,278.34 / $1,901.89 / $2,580.35	Professional		$1,278.34	$1,901.89	$2,580.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,501.00 / $13,169.00	Facility		$2,240.00	$3,501.00	$13,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.15 / $1,955.05 / $3,059.90	Professional		$1,201.15	$1,955.05	$3,059.90