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 $964.21 / $1,695.37 / $3,075.81	Professional		$964.21	$1,695.37	$3,075.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $17,081.59 / $31,745.76	Facility		$9,866.94	$17,081.59	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.02 / $3,035.31 / $10,509.00	Professional		$1,716.02	$3,035.31	$10,509.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,257.12 / $5,257.12 / $8,758.29	Facility		$5,257.12	$5,257.12	$8,758.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.00 / $2,558.52 / $3,747.03	Professional		$1,389.00	$2,558.52	$3,747.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,484.36 / $2,565.78 / $11,234.92	Facility		$1,484.36	$2,565.78	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.14 / $2,386.98 / $5,900.94	Professional		$1,540.14	$2,386.98	$5,900.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $440.04 / $2,619.01	Professional		$112.66	$440.04	$2,619.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,657.48 / $2,246.51 / $2,444.16	Facility		$1,657.48	$2,246.51	$2,444.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,647.56 / $1,667.14 / $2,513.62	Facility		$1,647.56	$1,667.14	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.02 / $2,782.61 / $3,419.27	Professional		$1,716.02	$2,782.61	$3,419.27
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 $1,680.29 / $2,398.19 / $3,230.30	Professional		$1,680.29	$2,398.19	$3,230.30
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 $1,475.32 / $2,392.77 / $3,530.82	Professional		$1,475.32	$2,392.77	$3,530.82