Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.98 / $5,128.00 / $20,680.40	Facility		$2,125.98	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.10 / $2,125.98 / $3,777.65	Professional		$1,265.10	$2,125.98	$3,777.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $16,227.47 / $31,745.76	Facility		$2,000.00	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.77 / $3,672.23 / $13,354.80	Professional		$2,161.77	$3,672.23	$13,354.80
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 $1,762.30 / $3,234.45 / $4,716.58	Professional		$1,762.30	$3,234.45	$4,716.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,734.09 / $3,302.08 / $15,077.93	Facility		$1,734.09	$3,302.08	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.27 / $3,127.01 / $4,799.13	Professional		$1,824.27	$3,127.01	$4,799.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $737.98 / $3,402.85	Professional		$124.44	$737.98	$3,402.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,159.21 / $2,920.53 / $3,110.14	Facility		$2,159.21	$2,920.53	$3,110.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,079.71 / $2,121.39 / $2,513.62	Facility		$2,079.71	$2,121.39	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,183.60 / $3,534.40 / $4,350.95	Professional		$2,183.60	$3,534.40	$4,350.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,023.10 / $16,586.25 / $31,745.76	Facility		$12,023.10	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,121.04 / $3,051.65 / $4,110.49	Professional		$2,121.04	$3,051.65	$4,110.49
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 $1,917.97 / $2,920.54 / $4,478.96	Professional		$1,917.97	$2,920.54	$4,478.96