Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.23 / $4,617.43 / $22,024.00	Facility		$501.23	$4,617.43	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $1,496.30 / $3,321.66	Professional		$290.39	$1,496.30	$3,321.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,944.54 / $8,832.54 / $17,279.07	Facility		$1,944.54	$8,832.54	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $490.49 / $2,707.03 / $12,367.28	Professional		$490.49	$2,707.03	$12,367.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,313.96 / $6,313.96 / $6,313.96	Facility		$6,313.96	$6,313.96	$6,313.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.40 / $886.66 / $4,358.75	Professional		$431.40	$886.66	$4,358.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $439.81 / $2,536.32 / $4,894.68	Facility		$439.81	$2,536.32	$4,894.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.31 / $2,029.05 / $4,716.85	Professional		$432.31	$2,029.05	$4,716.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $353.32 / $2,158.95 / $3,607.53	Professional		$353.32	$2,158.95	$3,607.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,425.27 / $2,716.62 / $3,445.30	Facility		$1,425.27	$2,716.62	$3,445.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,944.54 / $1,944.54 / $2,066.59	Facility		$1,944.54	$1,944.54	$2,066.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $910.65 / $3,564.41	Professional		$470.68	$910.65	$3,564.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $455.27 / $840.70 / $3,304.01	Professional		$455.27	$840.70	$3,304.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,295.00 / $11,941.00	Facility		$2,155.00	$6,295.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,038.08 / $3,103.44 / $4,446.72	Professional		$2,038.08	$3,103.44	$4,446.72