Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.15 / $5,116.62 / $20,680.40	Facility		$1,744.15	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.40 / $1,744.15 / $4,018.46	Professional		$1,195.40	$1,744.15	$4,018.46
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 $1,819.49 / $3,130.76 / $10,822.80	Professional		$1,819.49	$3,130.76	$10,822.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,401.33 / $5,401.33 / $8,998.54	Facility		$5,401.33	$5,401.33	$8,998.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,585.52 / $2,637.29 / $3,858.53	Professional		$1,585.52	$2,637.29	$3,858.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,672.06 / $2,812.47 / $11,234.92	Facility		$1,672.06	$2,812.47	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,719.50 / $6,062.80	Professional		$1,837.50	$2,719.50	$6,062.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $455.53 / $2,699.07	Professional		$139.02	$455.53	$2,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,051.53 / $2,430.38 / $3,040.46	Facility		$2,051.53	$2,430.38	$3,040.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.94 / $1,717.41 / $3,559.26	Facility		$1,696.94	$1,717.41	$3,559.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.74 / $2,870.11 / $3,522.37	Professional		$1,840.74	$2,870.11	$3,522.37
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 $1,730.65 / $2,470.51 / $3,327.71	Professional		$1,730.65	$2,470.51	$3,327.71
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 $1,523.72 / $2,601.91 / $3,641.88	Professional		$1,523.72	$2,601.91	$3,641.88