Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.20 / $4,011.00 / $18,711.00	Facility		$1,587.20	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.10 / $1,118.63 / $2,289.51	Professional		$766.10	$1,118.63	$2,289.51
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 Professional Modifier Low / Median / High Price $1,225.39 / $2,137.25 / $7,420.73	Professional		$1,225.39	$2,137.25	$7,420.73
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 $1,088.27 / $1,785.99 / $2,628.90	Professional		$1,088.27	$1,785.99	$2,628.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,074.78 / $1,973.16 / $8,210.75	Facility		$1,074.78	$1,973.16	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.16 / $1,931.72 / $4,024.14	Professional		$1,080.16	$1,931.72	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,072.08 / $2,072.89	Professional		$100.46	$1,072.08	$2,072.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,229.90 / $1,689.74 / $1,745.35	Facility		$1,229.90	$1,689.74	$1,745.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.06 / $1,190.49 / $2,173.03	Facility		$1,156.06	$1,190.49	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.39 / $1,985.79 / $2,441.67	Professional		$1,225.39	$1,985.79	$2,441.67
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 $1,179.02 / $1,712.53 / $2,306.73	Professional		$1,179.02	$1,712.53	$2,306.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.68 / $1,738.16 / $2,486.17	Professional		$1,109.68	$1,738.16	$2,486.17