Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.88 / $4,425.00 / $20,680.40	Facility		$1,298.88	$4,425.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.23 / $939.99 / $1,874.56	Professional		$718.23	$939.99	$1,874.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $944.51 / $9,558.29 / $18,754.53	Facility		$944.51	$9,558.29	$18,754.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.50 / $1,747.15 / $6,085.58	Professional		$1,016.50	$1,747.15	$6,085.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.89 / $2,395.89 / $3,991.53	Facility		$2,395.89	$2,395.89	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $1,461.56 / $2,155.91	Professional		$887.50	$1,461.56	$2,155.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $879.90 / $1,605.69 / $9,765.32	Facility		$879.90	$1,605.69	$9,765.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.36 / $1,577.98 / $2,689.31	Professional		$882.36	$1,577.98	$2,689.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $835.42 / $1,661.18	Professional		$100.45	$835.42	$1,661.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,054.25 / $1,376.85 / $1,429.78	Facility		$1,054.25	$1,376.85	$1,429.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.51 / $975.24 / $1,481.16	Facility		$944.51	$975.24	$1,481.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,626.75 / $2,000.20	Professional		$1,003.83	$1,626.75	$2,000.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $963.27 / $1,400.04 / $1,889.66	Professional		$963.27	$1,400.04	$1,889.66
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 $904.20 / $1,484.25 / $2,032.39	Professional		$904.20	$1,484.25	$2,032.39