Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.36 / $5,116.62 / $18,800.00	Facility		$1,454.36	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $1,051.73 / $2,085.30	Professional		$813.86	$1,051.73	$2,085.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.00 / $1,950.54 / $8,255.64	Professional		$1,194.00	$1,950.54	$8,255.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.02 / $1,636.50 / $2,411.01	Professional		$996.02	$1,636.50	$2,411.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $986.40 / $1,767.84 / $8,742.04	Facility		$986.40	$1,767.84	$8,742.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.08 / $1,709.40 / $2,330.07	Professional		$1,086.08	$1,709.40	$2,330.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $938.12 / $1,845.64	Professional		$100.41	$938.12	$1,845.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.08 / $1,547.03 / $1,599.96	Facility		$1,150.08	$1,547.03	$1,599.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,059.57 / $1,091.32	Facility		$839.66	$1,059.57	$1,091.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.70 / $1,820.37 / $2,238.27	Professional		$1,150.70	$1,820.37	$2,238.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,933.76 / $11,041.39	Facility		$4,408.99	$5,933.76	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,080.61 / $1,561.23 / $2,114.57	Professional		$1,080.61	$1,561.23	$2,114.57
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 $1,015.96 / $1,591.36 / $2,281.88	Professional		$1,015.96	$1,591.36	$2,281.88