Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.50 / $5,116.62 / $20,680.40	Facility		$1,523.50	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.74 / $1,168.21 / $2,045.58	Professional		$640.74	$1,168.21	$2,045.58
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 $1,176.47 / $2,082.46 / $7,209.38	Professional		$1,176.47	$2,082.46	$7,209.38
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 $942.14 / $1,758.39 / $2,575.15	Professional		$942.14	$1,758.39	$2,575.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,010.50 / $1,703.01 / $11,234.92	Facility		$1,010.50	$1,703.01	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.94 / $1,616.16 / $4,655.70	Professional		$1,046.94	$1,616.16	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $275.38 / $1,798.27	Professional		$74.23	$275.38	$1,798.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.99 / $1,492.09 / $1,675.67	Facility		$1,102.99	$1,492.09	$1,675.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.24 / $1,142.96 / $2,513.62	Facility		$1,130.24	$1,142.96	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.47 / $1,909.10 / $2,344.19	Professional		$1,176.47	$1,909.10	$2,344.19
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 $1,152.69 / $1,644.16 / $2,214.64	Professional		$1,152.69	$1,644.16	$2,214.64
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 $965.11 / $1,598.81 / $2,422.44	Professional		$965.11	$1,598.81	$2,422.44