Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.34 / $3,925.18 / $18,711.00	Facility		$1,446.34	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.65 / $1,019.50 / $2,060.67	Professional		$693.65	$1,019.50	$2,060.67
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 $1,116.73 / $1,847.94 / $9,010.07	Professional		$1,116.73	$1,847.94	$9,010.07
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 $991.19 / $1,627.48 / $2,396.23	Professional		$991.19	$1,627.48	$2,396.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $979.44 / $1,786.88 / $8,210.75	Facility		$979.44	$1,786.88	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.41 / $1,759.42 / $4,024.14	Professional		$983.41	$1,759.42	$4,024.14
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 $1,119.65 / $1,528.27 / $1,590.58	Facility		$1,119.65	$1,528.27	$1,590.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.13 / $1,084.92 / $2,173.03	Facility		$1,054.13	$1,084.92	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.73 / $1,809.70 / $2,225.15	Professional		$1,116.73	$1,809.70	$2,225.15
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 $1,075.07 / $1,560.32 / $2,102.17	Professional		$1,075.07	$1,560.32	$2,102.17
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 $1,011.12 / $1,485.25 / $2,265.05	Professional		$1,011.12	$1,485.25	$2,265.05