Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.64 / $6,623.55 / $20,680.40	Facility		$1,554.64	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,554.64 / $1,705.98	Professional		$1,059.20	$1,554.64	$1,705.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,879.80 / $49,166.34 / $95,983.71	Facility		$4,879.80	$49,166.34	$95,983.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.42 / $3,679.81 / $12,949.50	Professional		$2,049.42	$3,679.81	$12,949.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $26,931.34	Facility		$1,925.00	$1,925.00	$26,931.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,332.96 / $2,332.96 / $2,332.96	Professional		$2,332.96	$2,332.96	$2,332.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,695.42 / $14,171.83 / $53,582.52	Facility		$11,695.42	$14,171.83	$53,582.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,582.83 / $13,739.29 / $27,600.34	Professional		$11,582.83	$13,739.29	$27,600.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,031.05 / $18,608.06 / $41,533.12	Facility		$2,031.05	$18,608.06	$41,533.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.51 / $2,009.51 / $2,027.71	Facility		$2,009.51	$2,009.51	$2,027.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.10 / $3,349.94 / $4,039.87	Professional		$2,107.10	$3,349.94	$4,039.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,875.91 / $49,166.34 / $94,049.65	Facility		$35,875.91	$49,166.34	$94,049.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,049.42 / $2,846.78 / $3,928.96	Professional		$2,049.42	$2,846.78	$3,928.96
United Facility/Professional Facility Modifier Low / Median / High Price $9,648.00 / $11,149.00 / $35,976.00	Facility		$9,648.00	$11,149.00	$35,976.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.00 / $2,334.60 / $4,360.84	Professional		$1,541.00	$2,334.60	$4,360.84