Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.24 / $5,128.00 / $20,680.40	Facility		$1,626.24	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.18 / $1,626.24 / $2,835.00	Professional		$781.18	$1,626.24	$2,835.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,301.89 / $29,789.77	Facility		$9,749.10	$16,301.89	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.22 / $3,073.24 / $11,851.43	Professional		$1,760.22	$3,073.24	$11,851.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.73 / $2,567.67 / $3,855.40	Professional		$1,541.73	$2,567.67	$3,855.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,574.52 / $2,608.13 / $10,488.49	Facility		$1,574.52	$2,608.13	$10,488.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.52 / $2,494.96 / $4,506.52	Professional		$1,574.52	$2,494.96	$4,506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $366.77 / $2,796.03	Professional		$102.63	$366.77	$2,796.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,486.60 / $2,261.35 / $2,621.04	Facility		$1,486.60	$2,261.35	$2,621.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,725.93 / $1,725.93 / $1,787.78	Facility		$1,725.93	$1,725.93	$1,787.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.20 / $2,947.73 / $3,548.58	Professional		$1,840.20	$2,947.73	$3,548.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,760.22 / $2,571.75 / $3,464.08	Professional		$1,760.22	$2,571.75	$3,464.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $10,811.40 / $19,271.00	Facility		$3,028.00	$10,811.40	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.23 / $2,158.30 / $3,714.63	Professional		$1,405.23	$2,158.30	$3,714.63