Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.09 / $4,011.00 / $18,711.00	Facility		$1,452.09	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $1,049.27 / $2,104.01	Professional		$808.50	$1,049.27	$2,104.01
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 $1,121.90 / $1,955.48 / $6,793.20	Professional		$1,121.90	$1,955.48	$6,793.20
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 $997.53 / $1,633.96 / $2,406.36	Professional		$997.53	$1,633.96	$2,406.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $983.64 / $1,803.67 / $9,036.82	Facility		$983.64	$1,803.67	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.43 / $1,770.13 / $4,024.14	Professional		$989.43	$1,770.13	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $941.09 / $1,845.36	Professional		$100.45	$941.09	$1,845.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,196.08 / $1,548.37 / $1,597.95	Facility		$1,196.08	$1,548.37	$1,597.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.21 / $1,089.95 / $2,173.03	Facility		$1,058.21	$1,089.95	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,818.09 / $2,235.46	Professional		$1,121.90	$1,818.09	$2,235.46
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 $1,079.23 / $1,566.98 / $2,111.92	Professional		$1,079.23	$1,566.98	$2,111.92
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 $1,008.27 / $1,592.74 / $2,274.71	Professional		$1,008.27	$1,592.74	$2,274.71