Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.53 / $5,128.00 / $18,800.00	Facility		$1,237.53	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,237.53 / $2,466.35	Professional		$925.91	$1,237.53	$2,466.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.82 / $2,186.66 / $8,252.00	Professional		$1,321.82	$2,186.66	$8,252.00
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 $1,178.11 / $1,925.10 / $2,834.63	Professional		$1,178.11	$1,925.10	$2,834.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,159.46 / $2,091.67 / $9,036.82	Facility		$1,159.46	$2,091.67	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.59 / $2,072.30 / $2,833.16	Professional		$1,169.59	$2,072.30	$2,833.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,122.60 / $2,154.33	Professional		$150.54	$1,122.60	$2,154.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,331.82 / $1,827.09 / $1,882.70	Facility		$1,331.82	$1,827.09	$1,882.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.56 / $1,284.17 / $1,470.05	Facility		$1,247.56	$1,284.17	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,321.82 / $2,142.06 / $2,633.81	Professional		$1,321.82	$2,142.06	$2,633.81
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 $1,272.34 / $1,837.99 / $2,488.26	Professional		$1,272.34	$1,837.99	$2,488.26
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 $1,199.88 / $1,911.14 / $2,680.23	Professional		$1,199.88	$1,911.14	$2,680.23