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 $1,036.07 / $1,651.80 / $2,944.50	Professional		$1,036.07	$1,651.80	$2,944.50
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 $1,670.86 / $2,958.12 / $10,233.45	Professional		$1,670.86	$2,958.12	$10,233.45
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 $1,349.16 / $2,493.92 / $3,648.86	Professional		$1,349.16	$2,493.92	$3,648.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,443.51 / $2,427.26 / $11,234.92	Facility		$1,443.51	$2,427.26	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.02 / $2,313.98 / $4,655.70	Professional		$1,496.02	$2,313.98	$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 $1,559.12 / $2,156.06 / $2,379.84	Facility		$1,559.12	$2,156.06	$2,379.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.62 / $1,623.26 / $2,513.62	Facility		$1,603.62	$1,623.26	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,670.86 / $2,711.85 / $3,329.29	Professional		$1,670.86	$2,711.85	$3,329.29
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 $1,635.48 / $2,335.08 / $3,145.30	Professional		$1,635.48	$2,335.08	$3,145.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,478.00 / $5,267.50 / $16,315.00	Facility		$3,478.00	$5,267.50	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.16 / $2,597.15 / $3,615.68	Professional		$1,436.16	$2,597.15	$3,615.68