Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.31 / $5,116.62 / $18,800.00	Facility		$1,668.31	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.91 / $1,583.34 / $2,631.43	Professional		$750.91	$1,583.34	$2,631.43
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 $1,506.12 / $2,709.95 / $9,409.79	Professional		$1,506.12	$2,709.95	$9,409.79
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 $1,133.66 / $2,244.92 / $3,377.85	Professional		$1,133.66	$2,244.92	$3,377.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,154.98 / $2,000.64 / $6,447.65	Facility		$1,154.98	$2,000.64	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.18 / $1,943.98 / $4,655.70	Professional		$1,201.18	$1,943.98	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $365.77 / $2,303.64	Professional		$106.67	$365.77	$2,303.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,195.15 / $1,858.20 / $2,170.80	Facility		$1,195.15	$1,858.20	$2,170.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.78 / $1,480.68 / $2,513.62	Facility		$1,476.78	$1,480.68	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.10 / $2,484.34 / $3,036.85	Professional		$1,524.10	$2,484.34	$3,036.85
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 $1,506.12 / $2,129.98 / $2,869.02	Professional		$1,506.12	$2,129.98	$2,869.02
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 $1,237.50 / $2,136.30 / $3,152.37	Professional		$1,237.50	$2,136.30	$3,152.37