Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.75 / $5,128.00 / $20,680.40	Facility		$1,794.75	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.75 / $1,794.75 / $3,008.96	Professional		$852.75	$1,794.75	$3,008.96
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 $1,727.56 / $3,083.80 / $10,754.33	Professional		$1,727.56	$3,083.80	$10,754.33
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 $1,290.13 / $2,556.48 / $3,846.66	Professional		$1,290.13	$2,556.48	$3,846.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,316.23 / $2,278.26 / $11,234.92	Facility		$1,316.23	$2,278.26	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.12 / $2,226.79 / $4,655.70	Professional		$1,376.12	$2,226.79	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $439.48 / $2,682.95	Professional		$111.30	$439.48	$2,682.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.12 / $2,067.88 / $2,481.67	Facility		$1,387.12	$2,067.88	$2,481.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,686.07 / $1,692.73 / $2,513.62	Facility		$1,686.07	$1,692.73	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,742.36 / $2,836.64 / $3,471.76	Professional		$1,742.36	$2,836.64	$3,471.76
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 $1,719.56 / $2,435.01 / $3,279.89	Professional		$1,719.56	$2,435.01	$3,279.89
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 $1,442.28 / $2,692.72 / $3,541.59	Professional		$1,442.28	$2,692.72	$3,541.59