Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,725.45 / $9,246.29 / $25,951.30	Facility		$2,725.45	$9,246.29	$25,951.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.83 / $2,256.88 / $3,893.88	Professional		$1,259.83	$2,256.88	$3,893.88
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 $2,253.69 / $3,976.35 / $13,893.98	Professional		$2,253.69	$3,976.35	$13,893.98
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 $1,924.76 / $3,346.26 / $4,908.50	Professional		$1,924.76	$3,346.26	$4,908.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,893.67 / $3,336.22 / $11,234.92	Facility		$1,893.67	$3,336.22	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.54 / $3,301.88 / $4,985.62	Professional		$1,949.54	$3,301.88	$4,985.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $583.07 / $3,432.61	Professional		$145.49	$583.07	$3,432.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,122.65 / $2,931.90 / $3,238.84	Facility		$2,122.65	$2,931.90	$3,238.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,169.87 / $2,189.48 / $2,513.62	Facility		$2,169.87	$2,189.48	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,253.69 / $3,657.65 / $4,490.60	Professional		$2,253.69	$3,657.65	$4,490.60
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 $2,212.98 / $3,149.60 / $4,242.43	Professional		$2,212.98	$3,149.60	$4,242.43
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 $1,961.44 / $3,145.23 / $4,641.17	Professional		$1,961.44	$3,145.23	$4,641.17