Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.41 / $5,116.62 / $18,800.00	Facility		$1,527.41	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.74 / $1,077.45 / $2,193.46	Professional		$712.74	$1,077.45	$2,193.46
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 $1,179.29 / $1,951.92 / $7,796.51	Professional		$1,179.29	$1,951.92	$7,796.51
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 $1,048.19 / $1,718.72 / $2,529.40	Professional		$1,048.19	$1,718.72	$2,529.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,034.46 / $1,866.95 / $8,210.75	Facility		$1,034.46	$1,866.95	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.74 / $1,857.73 / $4,024.14	Professional		$1,039.74	$1,857.73	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,043.21 / $1,975.40	Professional		$100.46	$1,043.21	$1,975.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.04 / $1,628.10 / $1,679.69	Facility		$1,223.04	$1,628.10	$1,679.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.38 / $1,145.70 / $2,173.03	Facility		$1,114.38	$1,145.70	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.29 / $1,911.09 / $2,349.81	Professional		$1,179.29	$1,911.09	$2,349.81
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 $1,136.52 / $1,648.10 / $2,219.94	Professional		$1,136.52	$1,648.10	$2,219.94
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 $1,020.60 / $1,701.01 / $2,392.50	Professional		$1,020.60	$1,701.01	$2,392.50