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 $1,094.24 / $1,639.04 / $3,772.47	Professional		$1,094.24	$1,639.04	$3,772.47
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 $1,707.53 / $2,924.98 / $10,156.65	Professional		$1,707.53	$2,924.98	$10,156.65
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 $1,486.06 / $2,474.67 / $3,621.24	Professional		$1,486.06	$2,474.67	$3,621.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,654.62 / $2,691.77 / $11,234.92	Facility		$1,654.62	$2,691.77	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.00 / $2,635.69 / $4,655.70	Professional		$1,722.00	$2,635.69	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $437.74 / $2,531.68	Professional		$111.30	$437.74	$2,531.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,923.61 / $2,279.46 / $2,857.77	Facility		$1,923.61	$2,279.46	$2,857.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.39 / $1,610.93 / $2,513.62	Facility		$1,591.39	$1,610.93	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,725.57 / $2,690.54 / $3,303.98	Professional		$1,725.57	$2,690.54	$3,303.98
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 $1,623.01 / $2,317.34 / $3,121.39	Professional		$1,623.01	$2,317.34	$3,121.39
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 $1,452.47 / $2,493.23 / $3,414.01	Professional		$1,452.47	$2,493.23	$3,414.01