Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.90 / $5,693.86 / $18,800.00	Facility		$1,420.90	$5,693.86	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $1,027.53 / $2,012.39	Professional		$748.41	$1,027.53	$2,012.39
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 $1,113.08 / $1,906.70 / $6,643.88	Professional		$1,113.08	$1,906.70	$6,643.88
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 $972.70 / $1,598.86 / $2,353.55	Professional		$972.70	$1,598.86	$2,353.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $962.22 / $1,774.09 / $6,254.64	Facility		$962.22	$1,774.09	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.78 / $1,726.51 / $2,641.65	Professional		$965.78	$1,726.51	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $904.56 / $1,833.00	Professional		$100.46	$904.56	$1,833.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.78 / $1,495.44 / $1,562.44	Facility		$1,100.78	$1,495.44	$1,562.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,035.56 / $1,065.72 / $1,470.05	Facility		$1,035.56	$1,065.72	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.97 / $1,777.68 / $2,185.78	Professional		$1,096.97	$1,777.68	$2,185.78
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 $1,056.13 / $1,533.05 / $2,064.98	Professional		$1,056.13	$1,533.05	$2,064.98
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 $993.52 / $1,545.59 / $2,225.48	Professional		$993.52	$1,545.59	$2,225.48