Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.90 / $11,831.77 / $22,567.96	Facility		$1,084.90	$11,831.77	$22,567.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $466.05 / $800.26 / $1,212.41	Facility	52	$466.05	$800.26	$1,212.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.07 / $932.10 / $2,205.16	Professional		$770.07	$932.10	$2,205.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $6,520.36 / $10,845.40 / $10,845.40	Facility	52	$6,520.36	$10,845.40	$10,845.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.40 / $1,781.18 / $6,190.73	Professional		$1,102.40	$1,781.18	$6,190.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.89 / $1,488.23 / $2,192.02	Professional		$908.89	$1,488.23	$2,192.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $996.71 / $1,761.96 / $9,391.74	Facility		$996.71	$1,761.96	$9,391.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.33 / $1,621.37 / $4,024.14	Professional		$1,045.33	$1,621.37	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $871.22 / $1,673.04	Professional		$100.07	$871.22	$1,673.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.19 / $1,419.92 / $1,636.81	Facility		$1,191.19	$1,419.92	$1,636.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.44 / $993.06 / $2,173.03	Facility		$964.44	$993.06	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.25 / $1,656.48 / $2,036.75	Professional		$1,047.25	$1,656.48	$2,036.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $983.60 / $1,427.30 / $1,924.19	Professional		$983.60	$1,427.30	$1,924.19
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 $926.21 / $1,550.05 / $2,071.96	Professional		$926.21	$1,550.05	$2,071.96