Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.94 / $5,128.00 / $20,680.40	Facility		$1,343.94	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.66 / $1,047.53 / $1,821.27	Professional		$548.66	$1,047.53	$1,821.27
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 $1,039.86 / $1,862.52 / $6,452.40	Professional		$1,039.86	$1,862.52	$6,452.40
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 $829.75 / $1,531.16 / $2,303.89	Professional		$829.75	$1,531.16	$2,303.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $893.11 / $1,471.67 / $11,234.92	Facility		$893.11	$1,471.67	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.34 / $1,423.02 / $4,655.70	Professional		$894.34	$1,423.02	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $270.10 / $1,603.14	Professional		$75.97	$270.10	$1,603.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.59 / $1,314.54 / $1,498.12	Facility		$950.59	$1,314.54	$1,498.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.74 / $1,021.85 / $2,513.62	Facility		$1,009.74	$1,021.85	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.81 / $1,707.46 / $2,095.80	Professional		$1,051.81	$1,707.46	$2,095.80
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 $1,029.80 / $1,469.94 / $1,979.98	Professional		$1,029.80	$1,469.94	$1,979.98
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 $870.32 / $1,468.25 / $2,166.59	Professional		$870.32	$1,468.25	$2,166.59