Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.29 / $2,238.46 / $20,680.40	Facility		$1,000.29	$2,238.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.75 / $1,000.29 / $2,035.69	Professional		$736.75	$1,000.29	$2,035.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,033.29 / $9,388.90 / $18,898.13	Facility		$1,033.29	$9,388.90	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.27 / $1,812.50 / $9,677.00	Professional		$1,072.27	$1,812.50	$9,677.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.87 / $1,596.30 / $2,349.86	Professional		$971.87	$1,596.30	$2,349.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $960.96 / $1,749.67 / $6,254.64	Facility		$960.96	$1,749.67	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.20 / $1,724.98 / $2,641.65	Professional		$963.20	$1,724.98	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $976.61 / $1,868.58	Professional		$100.46	$976.61	$1,868.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,133.14 / $1,510.18 / $1,561.28	Facility		$1,133.14	$1,510.18	$1,561.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.29 / $1,063.90 / $1,470.05	Facility		$1,033.29	$1,063.90	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.08 / $1,774.63 / $2,182.03	Professional		$1,095.08	$1,774.63	$2,182.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,053.82 / $1,530.40 / $2,061.44	Professional		$1,053.82	$1,530.40	$2,061.44
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 $991.76 / $1,662.00 / $2,221.60	Professional		$991.76	$1,662.00	$2,221.60