Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.85 / $3,925.18 / $18,711.00	Facility		$1,552.85	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.96 / $1,153.31 / $2,158.84	Professional		$683.96	$1,153.31	$2,158.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,394.00 / $31,745.76	Facility		$9,866.94	$16,394.00	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.23 / $2,079.15 / $7,219.73	Professional		$1,180.23	$2,079.15	$7,219.73
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 $1,008.27 / $1,747.34 / $2,547.96	Professional		$1,008.27	$1,747.34	$2,547.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,051.68 / $1,825.66 / $11,234.92	Facility		$1,051.68	$1,825.66	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.84 / $1,729.38 / $4,655.70	Professional		$1,072.84	$1,729.38	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $346.41 / $1,788.88	Professional		$75.97	$346.41	$1,788.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $1,573.83 / $1,684.36	Facility		$1,187.00	$1,573.83	$1,684.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $1,146.60 / $2,513.62	Facility		$1,122.08	$1,146.60	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.48 / $1,912.61 / $2,351.69	Professional		$1,195.48	$1,912.61	$2,351.69
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 $1,144.36 / $1,649.42 / $2,221.71	Professional		$1,144.36	$1,649.42	$2,221.71
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $21,157.82 / $33,842.43	Facility		$10,312.00	$21,157.82	$33,842.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.56 / $1,639.02 / $2,418.57	Professional		$1,033.56	$1,639.02	$2,418.57