Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.93 / $5,116.62 / $18,800.00	Facility		$1,691.93	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.18 / $1,223.49 / $2,531.58	Professional		$949.18	$1,223.49	$2,531.58
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 $1,307.24 / $2,161.44 / $8,596.00	Professional		$1,307.24	$2,161.44	$8,596.00
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 $1,156.31 / $1,903.83 / $2,805.15	Professional		$1,156.31	$1,903.83	$2,805.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,138.24 / $1,944.45 / $6,254.64	Facility		$1,138.24	$1,944.45	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.24 / $1,944.45 / $2,552.90	Professional		$1,138.24	$1,944.45	$2,552.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,120.12 / $2,157.29	Professional		$150.40	$1,120.12	$2,157.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,373.96 / $1,816.23 / $1,955.83	Facility		$1,373.96	$1,816.23	$1,955.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,233.97 / $1,270.00	Facility		$839.66	$1,233.97	$1,270.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.07 / $2,118.42 / $2,604.76	Professional		$1,339.07	$2,118.42	$2,604.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,882.14 / $11,041.39	Facility		$4,408.99	$5,882.14	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.49 / $1,816.80 / $2,460.80	Professional		$1,258.49	$1,816.80	$2,460.80
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 $1,180.96 / $1,798.27 / $2,649.32	Professional		$1,180.96	$1,798.27	$2,649.32