Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.10 / $6,470.00 / $24,827.00	Facility		$2,506.10	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $2,506.10 / $4,216.87	Professional		$1,418.66	$2,506.10	$4,216.87
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 $2,450.46 / $4,374.22 / $15,265.95	Professional		$2,450.46	$4,374.22	$15,265.95
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 $1,882.12 / $3,602.95 / $5,456.44	Professional		$1,882.12	$3,602.95	$5,456.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,927.26 / $3,421.77 / $11,234.92	Facility		$1,927.26	$3,421.77	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.55 / $3,228.62 / $5,543.43	Professional		$2,041.55	$3,228.62	$5,543.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $665.18 / $3,792.72	Professional		$183.27	$665.18	$3,792.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,050.89 / $3,005.61 / $3,525.54	Facility		$2,050.89	$3,005.61	$3,525.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.67 / $2,404.73 / $2,513.62	Facility		$2,388.67	$2,404.73	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,475.23 / $4,023.64 / $4,932.07	Professional		$2,475.23	$4,023.64	$4,932.07
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 $2,436.13 / $3,459.24 / $4,659.50	Professional		$2,436.13	$3,459.24	$4,659.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $8,242.00 / $16,315.00	Facility		$2,912.00	$8,242.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,092.02 / $3,728.58 / $5,105.58	Professional		$2,092.02	$3,728.58	$5,105.58