Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.34 / $5,116.62 / $20,680.40	Facility		$1,495.34	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.42 / $1,144.36 / $2,009.05	Professional		$647.42	$1,144.36	$2,009.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.07 / $2,048.44 / $7,099.35	Professional		$1,159.07	$2,048.44	$7,099.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.74 / $1,727.14 / $2,526.17	Professional		$932.74	$1,727.14	$2,526.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $998.03 / $1,720.53 / $11,234.92	Facility		$998.03	$1,720.53	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,600.92 / $4,655.70	Professional		$1,039.50	$1,600.92	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $275.66 / $1,770.69	Professional		$73.20	$275.66	$1,770.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,115.32 / $1,480.03 / $1,650.88	Facility		$1,115.32	$1,480.03	$1,650.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,110.30 / $1,126.05 / $2,513.62	Facility		$1,110.30	$1,126.05	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.07 / $1,878.31 / $2,309.51	Professional		$1,159.07	$1,878.31	$2,309.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,619.84 / $2,181.87	Professional		$1,132.35	$1,619.84	$2,181.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.75 / $1,782.64 / $2,503.80	Professional		$994.75	$1,782.64	$2,503.80