Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,849.85 / $6,470.00 / $23,604.84	Facility		$1,849.85	$6,470.00	$23,604.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.87 / $1,849.85 / $3,763.04	Professional		$1,434.87	$1,849.85	$3,763.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.93 / $3,449.48 / $11,960.48	Professional		$2,006.93	$3,449.48	$11,960.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.62 / $2,879.50 / $4,233.63	Professional		$1,763.62	$2,879.50	$4,233.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,735.79 / $3,259.56 / $9,036.82	Facility		$1,735.79	$3,259.56	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.24 / $3,129.63 / $4,221.63	Professional		$1,749.24	$3,129.63	$4,221.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $1,665.83 / $3,256.78	Professional		$200.40	$1,665.83	$3,256.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,100.94 / $2,740.97 / $2,863.48	Facility		$2,100.94	$2,740.97	$2,863.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,870.44 / $1,919.86 / $2,173.03	Facility		$1,870.44	$1,919.86	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,976.15 / $3,202.42 / $3,937.60	Professional		$1,976.15	$3,202.42	$3,937.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,663.54 / $28,049.69	Facility		$9,508.65	$14,663.54	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,907.60 / $2,751.69 / $3,719.99	Professional		$1,907.60	$2,751.69	$3,719.99
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 $1,840.96 / $3,001.87 / $4,216.26	Professional		$1,840.96	$3,001.87	$4,216.26