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 $904.28 / $1,560.63 / $2,811.07	Professional		$904.28	$1,560.63	$2,811.07
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 $1,617.62 / $2,803.38 / $9,738.15	Professional		$1,617.62	$2,803.38	$9,738.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,889.81 / $5,889.81 / $9,812.36	Facility		$5,889.81	$5,889.81	$9,812.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.55 / $2,367.44 / $3,459.27	Professional		$1,302.55	$2,367.44	$3,459.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,386.75 / $2,402.23 / $11,234.92	Facility		$1,386.75	$2,402.23	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.06 / $2,240.46 / $6,611.12	Professional		$1,425.06	$2,240.46	$6,611.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $369.20 / $2,485.58	Professional		$106.95	$369.20	$2,485.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,499.53 / $2,073.65 / $2,265.94	Facility		$1,499.53	$2,073.65	$2,265.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,522.53 / $1,545.57 / $2,513.62	Facility		$1,522.53	$1,545.57	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.89 / $2,578.69 / $3,169.95	Professional		$1,590.89	$2,578.69	$3,169.95
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 $1,552.78 / $2,223.32 / $2,994.76	Professional		$1,552.78	$2,223.32	$2,994.76
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 $1,362.92 / $2,217.42 / $3,272.09	Professional		$1,362.92	$2,217.42	$3,272.09