Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.85 / $5,128.00 / $20,680.40	Facility		$1,720.85	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.89 / $1,415.30 / $2,475.81	Professional		$798.89	$1,415.30	$2,475.81
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 $1,423.90 / $2,524.86 / $8,725.28	Professional		$1,423.90	$2,524.86	$8,725.28
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 $1,135.10 / $2,131.15 / $3,121.62	Professional		$1,135.10	$2,131.15	$3,121.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $2,096.27 / $11,234.92	Facility		$1,116.58	$2,096.27	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.59 / $1,953.49 / $4,655.70	Professional		$1,155.59	$1,953.49	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $361.63 / $2,174.13	Professional		$106.67	$361.63	$2,174.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,249.99 / $1,755.40 / $2,028.09	Facility		$1,249.99	$1,755.40	$2,028.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,370.33 / $1,383.34 / $2,513.62	Facility		$1,370.33	$1,383.34	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.90 / $2,314.66 / $2,837.21	Professional		$1,423.90	$2,314.66	$2,837.21
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 $1,397.55 / $1,989.95 / $2,680.41	Professional		$1,397.55	$1,989.95	$2,680.41
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 $1,213.68 / $1,990.39 / $2,937.06	Professional		$1,213.68	$1,990.39	$2,937.06