Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.51 / $5,128.00 / $20,680.40	Facility		$2,048.51	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $2,048.51 / $3,353.60	Professional		$1,120.83	$2,048.51	$3,353.60
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 $1,974.59 / $3,542.90 / $12,364.65	Professional		$1,974.59	$3,542.90	$12,364.65
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 $1,518.85 / $2,929.04 / $4,407.22	Professional		$1,518.85	$2,929.04	$4,407.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,534.67 / $2,693.40 / $11,234.92	Facility		$1,534.67	$2,693.40	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.67 / $2,604.80 / $4,655.70	Professional		$1,625.67	$2,604.80	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $531.02 / $3,087.91	Professional		$149.86	$531.02	$3,087.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,648.96 / $2,436.17 / $2,854.20	Facility		$1,648.96	$2,436.17	$2,854.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.12 / $1,946.82 / $2,513.62	Facility		$1,936.12	$1,946.82	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,003.90 / $3,258.93 / $3,992.90	Professional		$2,003.90	$3,258.93	$3,992.90
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 $1,974.59 / $2,800.52 / $3,772.23	Professional		$1,974.59	$2,800.52	$3,772.23
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 $1,674.12 / $2,790.20 / $4,135.24	Professional		$1,674.12	$2,790.20	$4,135.24