Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,092.54 / $3,513.43 / $19,900.00	Facility		$2,092.54	$3,513.43	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $2,092.54 / $3,812.20	Professional		$1,166.59	$2,092.54	$3,812.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,477.40 / $16,595.73 / $31,745.76	Facility		$8,477.40	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.56 / $3,265.32 / $11,014.24	Professional		$2,034.56	$3,265.32	$11,014.24
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 $1,730.35 / $2,809.72 / $4,459.39	Professional		$1,730.35	$2,809.72	$4,459.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,509.90 / $2,776.94 / $5,194.27	Facility		$1,509.90	$2,776.94	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,663.03 / $2,760.12 / $4,232.62	Professional		$1,663.03	$2,760.12	$4,232.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $1,744.57 / $3,395.73	Professional		$200.15	$1,744.57	$3,395.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.68 / $2,785.72 / $2,982.84	Facility		$2,041.68	$2,785.72	$2,982.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,004.98 / $2,034.56 / $2,513.62	Facility		$2,004.98	$2,034.56	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,005.15 / $2,852.46 / $3,866.53	Professional		$2,005.15	$2,852.46	$3,866.53
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 $2,052.52 / $2,698.91 / $3,609.81	Professional		$2,052.52	$2,698.91	$3,609.81
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 $1,841.32 / $3,135.58 / $4,293.57	Professional		$1,841.32	$3,135.58	$4,293.57