Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.45 / $2,809.26 / $18,711.00	Facility		$1,604.45	$2,809.26	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.14 / $1,613.22 / $2,841.24	Professional		$765.14	$1,613.22	$2,841.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,095.10 / $16,595.73 / $31,745.76	Facility		$6,095.10	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.76 / $2,498.81 / $8,857.04	Professional		$1,515.76	$2,498.81	$8,857.04
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 $1,278.36 / $2,177.61 / $3,623.30	Professional		$1,278.36	$2,177.61	$3,623.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,092.18 / $1,999.24 / $5,194.27	Facility		$1,092.18	$1,999.24	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.93 / $1,991.89 / $3,473.73	Professional		$1,182.93	$1,991.89	$3,473.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $1,416.05 / $2,811.78	Professional		$149.53	$1,416.05	$2,811.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.02 / $2,102.46 / $2,419.37	Facility		$1,417.02	$2,102.46	$2,419.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,620.83 / $1,650.23 / $2,513.62	Facility		$1,620.83	$1,650.23	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,503.42 / $2,155.67 / $3,024.93	Professional		$1,503.42	$2,155.67	$3,024.93
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 $1,488.44 / $2,031.32 / $2,794.91	Professional		$1,488.44	$2,031.32	$2,794.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.80 / $1,984.95 / $3,432.37	Professional		$1,366.80	$1,984.95	$3,432.37