Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.66 / $7,267.39 / $24,827.00	Facility		$1,548.66	$7,267.39	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.61 / $1,174.45 / $2,113.05	Professional		$695.61	$1,174.45	$2,113.05
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 $1,173.65 / $2,076.66 / $7,235.10	Professional		$1,173.65	$2,076.66	$7,235.10
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 $1,003.62 / $1,733.49 / $2,548.59	Professional		$1,003.62	$1,733.49	$2,548.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,024.59 / $1,721.24 / $11,234.92	Facility		$1,024.59	$1,721.24	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.05 / $1,675.78 / $4,655.70	Professional		$1,047.05	$1,675.78	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $276.14 / $1,823.62	Professional		$73.20	$276.14	$1,823.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.56 / $1,553.73 / $1,682.32	Facility		$1,123.56	$1,553.73	$1,682.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.71 / $1,140.22 / $2,513.62	Facility		$1,125.71	$1,140.22	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.65 / $1,903.77 / $2,338.56	Professional		$1,173.65	$1,903.77	$2,338.56
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 $1,148.07 / $1,640.21 / $2,209.32	Professional		$1,148.07	$1,640.21	$2,209.32
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 $1,002.96 / $1,623.84 / $2,415.69	Professional		$1,002.96	$1,623.84	$2,415.69