Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.24 / $3,925.18 / $18,711.00	Facility		$1,442.24	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.05 / $1,016.74 / $2,066.96	Professional		$695.05	$1,016.74	$2,066.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,394.00 / $57,131.89 / $109,349.35	Facility		$16,394.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.38 / $1,842.43 / $7,091.49	Professional		$1,114.38	$1,842.43	$7,091.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,980.79 / $23,980.79 / $39,951.71	Facility		$23,980.79	$23,980.79	$39,951.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.15 / $1,622.87 / $2,391.09	Professional		$988.15	$1,622.87	$2,391.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $976.92 / $1,786.88 / $36,543.96	Facility		$976.92	$1,786.88	$36,543.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.26 / $1,754.85 / $26,917.61	Professional		$981.26	$1,754.85	$26,917.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $977.01 / $1,868.58	Professional		$100.46	$977.01	$1,868.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.50 / $1,533.63 / $1,587.23	Facility		$1,123.50	$1,533.63	$1,587.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.41 / $1,082.63 / $15,640.24	Facility		$1,051.41	$1,082.63	$15,640.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.38 / $1,805.89 / $2,220.46	Professional		$1,114.38	$1,805.89	$2,220.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,068.65 / $57,131.89 / $109,349.35	Facility		$37,068.65	$57,131.89	$109,349.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,072.30 / $1,555.67 / $2,097.75	Professional		$1,072.30	$1,555.67	$2,097.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.48 / $1,689.45 / $2,258.30	Professional		$1,008.48	$1,689.45	$2,258.30