Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.78 / $6,623.55 / $20,680.40	Facility		$1,602.78	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.19 / $1,518.48 / $1,785.81	Professional		$958.19	$1,518.48	$1,785.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $18,898.13	Facility		$6,079.47	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $4,161.85 / $13,716.38	Professional		$2,271.73	$4,161.85	$13,716.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,471.26 / $2,471.26 / $2,471.26	Professional		$2,471.26	$2,471.26	$2,471.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,140.04 / $11,228.64 / $28,148.51	Facility		$3,140.04	$11,228.64	$28,148.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,808.34 / $4,808.34 / $4,808.34	Professional		$4,808.34	$4,808.34	$4,808.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,660.26 / $2,579.35 / $3,454.59	Facility		$1,660.26	$2,579.35	$3,454.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.05 / $2,129.10 / $2,147.90	Facility		$1,470.05	$2,129.10	$2,147.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.60 / $3,582.81 / $4,405.31	Professional		$2,246.60	$3,582.81	$4,405.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,879.37 / $18,898.13	Facility		$7,208.83	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,608.50 / $3,089.78 / $4,221.54	Professional		$2,608.50	$3,089.78	$4,221.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.00 / $3,242.97 / $4,644.78	Professional		$2,068.00	$3,242.97	$4,644.78