Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.27 / $5,116.62 / $18,800.00	Facility		$1,490.27	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.85 / $1,110.59 / $1,994.22	Professional		$708.85	$1,110.59	$1,994.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.41 / $1,898.51 / $6,186.45	Professional		$1,101.41	$1,898.51	$6,186.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.57 / $1,599.50 / $2,238.56	Professional		$934.57	$1,599.50	$2,238.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $983.84 / $1,666.79 / $6,447.65	Facility		$983.84	$1,666.79	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,602.84 / $2,511.56	Professional		$1,011.78	$1,602.84	$2,511.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $266.77 / $1,559.32	Professional		$74.23	$266.77	$1,559.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $1,382.48 / $1,563.97	Facility		$1,081.08	$1,382.48	$1,563.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.81 / $1,079.95 / $1,140.42	Facility		$979.81	$1,079.95	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.80 / $1,705.17 / $2,041.09	Professional		$1,119.80	$1,705.17	$2,041.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,101.41 / $1,483.65 / $1,925.74	Professional		$1,101.41	$1,483.65	$1,925.74
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 $958.33 / $1,735.69 / $2,437.85	Professional		$958.33	$1,735.69	$2,437.85