Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $20,680.40	Facility		$1,733.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.35 / $1,320.46 / $2,599.81	Professional		$880.35	$1,320.46	$2,599.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,735.84 / $18,480.04 / $35,350.23	Facility		$10,735.84	$18,480.04	$35,350.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.01 / $2,550.59 / $11,940.77	Professional		$1,454.01	$2,550.59	$11,940.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.70 / $3,813.70 / $6,353.58	Facility		$3,813.70	$3,813.70	$6,353.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.67 / $2,106.48 / $3,087.43	Professional		$1,244.67	$2,106.48	$3,087.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,224.81 / $2,150.07 / $6,300.19	Facility		$1,224.81	$2,150.07	$6,300.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.83 / $2,127.71 / $4,280.74	Professional		$1,265.83	$2,127.71	$4,280.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $414.24 / $2,177.16	Professional		$106.93	$414.24	$2,177.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.15 / $1,965.78 / $2,070.96	Facility		$1,438.15	$1,965.78	$2,070.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,389.35 / $1,412.59 / $2,373.40	Facility		$1,389.35	$1,412.59	$2,373.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,454.01 / $2,356.27 / $2,897.19	Professional		$1,454.01	$2,356.27	$2,897.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,983.48 / $18,469.48 / $35,350.23	Facility		$11,983.48	$18,469.48	$35,350.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,416.95 / $2,032.02 / $2,737.08	Professional		$1,416.95	$2,032.02	$2,737.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $5,565.88 / $10,522.00	Facility		$1,862.00	$5,565.88	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.65 / $2,068.51 / $2,966.97	Professional		$1,270.65	$2,068.51	$2,966.97