Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,589.66 / $2,740.05	Professional		$865.54	$1,589.66	$2,740.05
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 $1,550.01 / $2,779.39 / $9,657.90	Professional		$1,550.01	$2,779.39	$9,657.90
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 $1,242.51 / $2,308.55 / $3,473.60	Professional		$1,242.51	$2,308.55	$3,473.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,329.80 / $2,196.41 / $11,234.92	Facility		$1,329.80	$2,196.41	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,330.85 / $2,131.19 / $4,655.70	Professional		$1,330.85	$2,131.19	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $433.99 / $2,370.49	Professional		$112.66	$433.99	$2,370.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,406.99 / $1,963.10 / $2,241.82	Facility		$1,406.99	$1,963.10	$2,241.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.82 / $1,529.12 / $2,513.62	Facility		$1,519.82	$1,529.12	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,573.96 / $2,556.62 / $3,136.21	Professional		$1,573.96	$2,556.62	$3,136.21
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 $1,550.01 / $2,199.66 / $2,962.88	Professional		$1,550.01	$2,199.66	$2,962.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $8,242.00 / $16,315.00	Facility		$2,912.00	$8,242.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.61 / $2,414.16 / $3,244.08	Professional		$1,304.61	$2,414.16	$3,244.08