Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.46 / $3,406.11 / $19,900.00	Facility		$2,145.46	$3,406.11	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.63 / $2,064.08 / $3,406.11	Professional		$1,091.63	$2,064.08	$3,406.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,250.36 / $16,595.73 / $31,745.76	Facility		$8,250.36	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.12 / $3,250.05 / $11,116.88	Professional		$2,004.12	$3,250.05	$11,116.88
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 $1,588.94 / $2,844.85 / $4,542.54	Professional		$1,588.94	$2,844.85	$4,542.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,417.43 / $2,587.59 / $5,194.27	Facility		$1,417.43	$2,587.59	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.65 / $2,506.35 / $4,339.80	Professional		$1,482.65	$2,506.35	$4,339.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $474.28 / $3,410.62	Professional		$137.47	$474.28	$3,410.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,713.31 / $2,495.75 / $3,037.11	Facility		$1,713.31	$2,495.75	$3,037.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.99 / $2,071.58 / $2,513.62	Facility		$2,028.99	$2,071.58	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,951.79 / $2,790.39 / $3,936.13	Professional		$1,951.79	$2,790.39	$3,936.13
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 $2,004.12 / $2,687.25 / $3,633.81	Professional		$2,004.12	$2,687.25	$3,633.81
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 $1,803.48 / $3,190.59 / $4,368.89	Professional		$1,803.48	$3,190.59	$4,368.89