Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.02 / $5,116.62 / $18,800.00	Facility		$1,298.02	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.61 / $938.71 / $1,855.08	Professional		$728.61	$938.71	$1,855.08
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 $1,002.42 / $1,746.32 / $6,075.83	Professional		$1,002.42	$1,746.32	$6,075.83
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 $886.60 / $1,460.60 / $2,152.63	Professional		$886.60	$1,460.60	$2,152.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $872.56 / $1,636.57 / $9,036.82	Facility		$872.56	$1,636.57	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.06 / $1,573.45 / $2,641.65	Professional		$879.06	$1,573.45	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $835.75 / $1,661.18	Professional		$100.41	$835.75	$1,661.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,068.20 / $1,375.51 / $1,427.77	Facility		$1,068.20	$1,375.51	$1,427.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.60 / $973.87 / $1,470.05	Facility		$943.60	$973.87	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.42 / $1,624.46 / $1,997.39	Professional		$1,002.42	$1,624.46	$1,997.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $962.35 / $1,399.37 / $1,887.00	Professional		$962.35	$1,399.37	$1,887.00
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 $903.76 / $1,376.18 / $2,031.42	Professional		$903.76	$1,376.18	$2,031.42