Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.84 / $4,968.93 / $19,036.16	Facility		$1,260.84	$4,968.93	$19,036.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.04 / $1,743.09 / $3,703.57	Professional		$744.04	$1,743.09	$3,703.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,857.12 / $14,663.54 / $28,049.69	Facility		$4,857.12	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.25 / $3,067.12 / $13,909.80	Professional		$1,256.25	$3,067.12	$13,909.80
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 $1,070.28 / $2,210.00 / $4,909.78	Professional		$1,070.28	$2,210.00	$4,909.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,087.27 / $2,657.00 / $5,463.26	Facility		$1,087.27	$2,657.00	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.50 / $2,255.26 / $5,211.89	Professional		$1,079.50	$2,255.26	$5,211.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $1,853.95 / $3,647.67	Professional		$199.64	$1,853.95	$3,647.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,334.64 / $3,063.37 / $3,804.48	Facility		$1,334.64	$3,063.37	$3,804.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.03 / $2,203.19 / $2,222.42	Facility		$2,173.03	$2,203.19	$2,222.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.78 / $2,181.00 / $4,184.97	Professional		$1,190.78	$2,181.00	$4,184.97
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 $1,100.69 / $2,126.91 / $3,743.51	Professional		$1,100.69	$2,126.91	$3,743.51
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 $2,104.08 / $3,493.75 / $4,734.16	Professional		$2,104.08	$3,493.75	$4,734.16