Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.50 / $5,128.00 / $20,680.40	Facility		$1,436.50	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.51 / $1,133.16 / $1,961.39	Professional		$681.51	$1,133.16	$1,961.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.02 / $4,746.97 / $11,500.00	Facility		$2,633.02	$4,746.97	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.10 / $1,972.78 / $6,791.48	Professional		$1,111.10	$1,972.78	$6,791.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.27 / $1,650.33 / $2,457.89	Professional		$903.27	$1,650.33	$2,457.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $888.69 / $1,460.56 / $6,542.30	Facility		$888.69	$1,460.56	$6,542.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.69 / $1,460.56 / $2,035.50	Professional		$888.69	$1,460.56	$2,035.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $273.41 / $1,715.73	Professional		$73.71	$273.41	$1,715.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.85 / $1,417.65 / $1,577.85	Facility		$1,012.85	$1,417.65	$1,577.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.04 / $1,076.24 / $1,089.47	Facility		$541.04	$1,076.24	$1,089.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.99 / $1,835.29 / $2,207.34	Professional		$1,123.99	$1,835.29	$2,207.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,404.18 / $8,267.12	Facility		$3,301.18	$4,404.18	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,111.10 / $1,548.18 / $2,085.35	Professional		$1,111.10	$1,548.18	$2,085.35
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.45 / $1,749.74 / $2,328.79	Professional		$956.45	$1,749.74	$2,328.79