Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.72 / $7,489.85 / $22,024.00	Facility		$1,699.72	$7,489.85	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.17 / $1,230.00 / $2,504.92	Professional		$940.17	$1,230.00	$2,504.92
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 $1,313.36 / $2,172.48 / $9,714.00	Professional		$1,313.36	$2,172.48	$9,714.00
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 $1,170.38 / $1,912.60 / $2,816.70	Professional		$1,170.38	$1,912.60	$2,816.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,151.82 / $2,101.08 / $9,036.82	Facility		$1,151.82	$2,101.08	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.43 / $2,077.02 / $2,815.58	Professional		$1,161.43	$2,077.02	$2,815.58
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 $1,400.42 / $1,815.03 / $1,870.64	Facility		$1,400.42	$1,815.03	$1,870.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.31 / $1,275.94 / $1,470.05	Facility		$1,240.31	$1,275.94	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.36 / $2,128.34 / $2,616.94	Professional		$1,313.36	$2,128.34	$2,616.94
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 $1,264.96 / $1,826.07 / $2,472.32	Professional		$1,264.96	$1,826.07	$2,472.32
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 $1,191.97 / $1,944.67 / $2,662.85	Professional		$1,191.97	$1,944.67	$2,662.85