Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.46 / $7,920.26 / $20,680.40	Facility		$1,360.46	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.39 / $985.07 / $2,147.31	Professional		$763.39	$985.07	$2,147.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.28 / $1,830.98 / $6,366.45	Professional		$1,065.28	$1,830.98	$6,366.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.41 / $1,530.85 / $2,255.21	Professional		$935.41	$1,530.85	$2,255.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $921.48 / $1,703.73 / $6,254.64	Facility		$921.48	$1,703.73	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.94 / $1,659.93 / $2,641.65	Professional		$927.94	$1,659.93	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $887.83 / $1,746.07	Professional		$100.45	$887.83	$1,746.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,126.02 / $1,447.87 / $1,496.78	Facility		$1,126.02	$1,447.87	$1,496.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.07 / $1,020.94 / $1,470.05	Facility		$992.07	$1,020.94	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.86 / $1,702.98 / $2,093.92	Professional		$1,050.86	$1,702.98	$2,093.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,411.94 / $9,873.73 / $18,898.13	Facility		$6,411.94	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,467.21 / $1,978.21	Professional		$1,011.78	$1,467.21	$1,978.21
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 $951.72 / $1,443.38 / $2,129.89	Professional		$951.72	$1,443.38	$2,129.89