Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,116.62 / $20,680.40	Facility		$2,291.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.34 / $3,594.91 / $4,078.77	Professional		$2,185.34	$3,594.91	$4,078.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,690.35 / $10,161.06	Facility		$3,509.52	$4,690.35	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,668.62 / $7,530.51 / $26,861.63	Professional		$4,668.62	$7,530.51	$26,861.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,839.46 / $4,839.46 / $4,839.46	Professional		$4,839.46	$4,839.46	$4,839.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,436.99 / $5,245.01 / $13,148.46	Facility		$1,436.99	$5,245.01	$13,148.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,415.86 / $9,415.86 / $9,415.86	Professional		$9,415.86	$9,415.86	$9,415.86
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 $564.96 / $1,124.91 / $2,257.67	Facility		$564.96	$1,124.91	$2,257.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $4,206.22 / $4,690.35	Facility		$625.69	$4,206.22	$4,690.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,839.46 / $7,347.20 / $8,762.20	Professional		$4,839.46	$7,347.20	$8,762.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,352.57 / $4,594.55 / $8,788.86	Facility		$3,352.57	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,783.09 / $5,511.64 / $7,530.51	Professional		$4,783.09	$5,511.64	$7,530.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $5,794.90 / $9,269.08	Facility		$3,740.00	$5,794.90	$9,269.08
United Facility/Professional Professional Modifier Low / Median / High Price $4,524.24 / $6,647.32 / $9,938.90	Professional		$4,524.24	$6,647.32	$9,938.90