Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,380.09 / $5,116.62 / $20,680.40	Facility		$2,380.09	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.13 / $2,380.09 / $4,374.18	Professional		$1,502.13	$2,380.09	$4,374.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,334.76 / $16,547.20 / $31,745.76	Facility		$2,334.76	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,449.84 / $4,123.43 / $14,975.33	Professional		$2,449.84	$4,123.43	$14,975.33
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 $2,070.38 / $3,627.86 / $5,289.88	Professional		$2,070.38	$3,627.86	$5,289.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,042.93 / $3,910.54 / $15,077.93	Facility		$2,042.93	$3,910.54	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,164.08 / $3,673.44 / $5,369.06	Professional		$2,164.08	$3,673.44	$5,369.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $666.05 / $3,778.49	Professional		$178.98	$666.05	$3,778.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,340.14 / $3,288.36 / $3,490.03	Facility		$2,340.14	$3,288.36	$3,490.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,334.76 / $2,380.06 / $2,513.62	Facility		$2,334.76	$2,380.06	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,449.84 / $3,970.02 / $4,881.46	Professional		$2,449.84	$3,970.02	$4,881.46
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 $2,381.15 / $3,423.74 / $4,611.68	Professional		$2,381.15	$3,423.74	$4,611.68
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 $2,201.67 / $3,435.61 / $4,948.54	Professional		$2,201.67	$3,435.61	$4,948.54