Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.05 / $11,103.50 / $22,671.14	Facility		$1,898.05	$11,103.50	$22,671.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $723.23 / $1,156.33 / $1,385.14	Facility	52	$723.23	$1,156.33	$1,385.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,446.45 / $2,873.74	Professional		$907.70	$1,446.45	$2,873.74
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 Facility Modifier 52 Low / Median / High Price $7,543.68 / $12,547.52 / $12,547.52	Facility	52	$7,543.68	$12,547.52	$12,547.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.26 / $2,581.30 / $8,935.04	Professional		$1,449.26	$2,581.30	$8,935.04
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 $1,184.18 / $2,176.52 / $3,186.10	Professional		$1,184.18	$2,176.52	$3,186.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,268.50 / $2,127.71 / $11,234.92	Facility		$1,268.50	$2,127.71	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.98 / $2,031.30 / $4,655.70	Professional		$1,309.98	$2,031.30	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $361.88 / $2,247.10	Professional		$106.29	$361.88	$2,247.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,401.66 / $1,882.03 / $2,077.00	Facility		$1,401.66	$1,882.03	$2,077.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.22 / $1,416.70 / $2,513.62	Facility		$1,400.22	$1,416.70	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,458.24 / $2,366.40 / $2,905.63	Professional		$1,458.24	$2,366.40	$2,905.63
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 $1,428.04 / $2,037.94 / $2,745.05	Professional		$1,428.04	$2,037.94	$2,745.05
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 $1,233.49 / $2,034.87 / $3,002.70	Professional		$1,233.49	$2,034.87	$3,002.70