Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.23 / $5,128.00 / $20,680.40	Facility		$1,824.23	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.17 / $1,824.23 / $3,290.91	Professional		$986.17	$1,824.23	$3,290.91
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 $1,806.02 / $3,214.59 / $11,137.58	Professional		$1,806.02	$3,214.59	$11,137.58
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 $1,524.40 / $2,714.25 / $3,969.52	Professional		$1,524.40	$2,714.25	$3,969.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,581.11 / $2,654.59 / $11,234.92	Facility		$1,581.11	$2,654.59	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,613.20 / $2,614.42 / $4,655.70	Professional		$1,613.20	$2,614.42	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $445.03 / $2,842.20	Professional		$112.66	$445.03	$2,842.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,731.12 / $2,393.91 / $2,588.21	Facility		$1,731.12	$2,393.91	$2,588.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,742.24 / $1,765.39 / $2,513.62	Facility		$1,742.24	$1,765.39	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,817.16 / $2,946.97 / $3,620.79	Professional		$1,817.16	$2,946.97	$3,620.79
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 $1,776.85 / $2,539.54 / $3,420.69	Professional		$1,776.85	$2,539.54	$3,420.69
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 $1,559.61 / $2,538.90 / $3,739.38	Professional		$1,559.61	$2,538.90	$3,739.38