Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $20,680.40	Facility		$1,733.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.89 / $1,535.27 / $2,707.97	Professional		$827.89	$1,535.27	$2,707.97
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 $1,547.62 / $2,731.41 / $9,482.25	Professional		$1,547.62	$2,731.41	$9,482.25
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 $1,241.17 / $2,289.62 / $3,385.78	Professional		$1,241.17	$2,289.62	$3,385.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,330.42 / $2,201.76 / $11,234.92	Facility		$1,330.42	$2,201.76	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.78 / $2,128.98 / $4,655.70	Professional		$1,353.78	$2,128.98	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $435.22 / $2,411.74	Professional		$112.66	$435.22	$2,411.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,436.54 / $1,986.55 / $2,204.30	Facility		$1,436.54	$1,986.55	$2,204.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,486.75 / $1,503.53 / $2,513.62	Facility		$1,486.75	$1,503.53	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.62 / $2,512.48 / $3,083.72	Professional		$1,547.62	$2,512.48	$3,083.72
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 $1,516.28 / $2,162.85 / $2,913.29	Professional		$1,516.28	$2,162.85	$2,913.29
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $21,157.82 / $33,842.43	Facility		$10,312.00	$21,157.82	$33,842.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $2,160.51 / $3,188.10	Professional		$1,276.00	$2,160.51	$3,188.10