Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,358.75 / $5,128.00 / $20,680.40	Facility		$2,358.75	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.11 / $2,358.75 / $4,321.67	Professional		$1,482.11	$2,358.75	$4,321.67
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 $2,378.81 / $4,010.25 / $14,558.85	Professional		$2,378.81	$4,010.25	$14,558.85
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 $2,031.37 / $3,538.38 / $5,174.42	Professional		$2,031.37	$3,538.38	$5,174.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,006.38 / $3,840.58 / $15,077.93	Facility		$2,006.38	$3,840.58	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,125.36 / $3,603.79 / $5,271.56	Professional		$2,125.36	$3,603.79	$5,271.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $619.55 / $3,653.56	Professional		$184.32	$619.55	$3,653.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,376.32 / $3,207.29 / $3,394.22	Facility		$2,376.32	$3,207.29	$3,394.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,278.14 / $2,311.05 / $2,513.62	Facility		$2,278.14	$2,311.05	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,378.81 / $3,854.95 / $4,739.93	Professional		$2,378.81	$3,854.95	$4,739.93
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 $2,323.40 / $3,324.47 / $4,477.97	Professional		$2,323.40	$3,324.47	$4,477.97
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 $2,106.28 / $3,314.70 / $4,891.24	Professional		$2,106.28	$3,314.70	$4,891.24