Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.17 / $5,128.00 / $20,680.40	Facility		$1,714.17	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.90 / $1,320.26 / $2,329.82	Professional		$743.90	$1,320.26	$2,329.82
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 $1,312.89 / $2,319.02 / $8,068.58	Professional		$1,312.89	$2,319.02	$8,068.58
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 $1,073.98 / $1,969.13 / $2,871.41	Professional		$1,073.98	$1,969.13	$2,871.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,170.46 / $1,955.83 / $11,234.92	Facility		$1,170.46	$1,955.83	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.24 / $1,841.12 / $4,655.70	Professional		$1,185.24	$1,841.12	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $358.83 / $2,032.82	Professional		$107.26	$358.83	$2,032.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,208.83 / $1,671.65 / $1,869.97	Facility		$1,208.83	$1,671.65	$1,869.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.90 / $1,275.49 / $2,513.62	Facility		$1,253.90	$1,275.49	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.89 / $2,125.94 / $2,616.00	Professional		$1,312.89	$2,125.94	$2,616.00
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 $1,278.82 / $1,834.80 / $2,471.42	Professional		$1,278.82	$1,834.80	$2,471.42
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 $1,097.81 / $1,756.04 / $2,697.61	Professional		$1,097.81	$1,756.04	$2,697.61