Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.91 / $5,116.62 / $18,800.00	Facility		$1,432.91	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.42 / $1,036.21 / $2,092.98	Professional		$789.42	$1,036.21	$2,092.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.26 / $1,928.92 / $6,701.85	Professional		$1,122.26	$1,928.92	$6,701.85
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 $980.91 / $1,612.37 / $2,374.04	Professional		$980.91	$1,612.37	$2,374.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $970.62 / $1,767.32 / $5,967.13	Facility		$970.62	$1,767.32	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $973.95 / $1,741.05 / $2,641.65	Professional		$973.95	$1,741.05	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $904.56 / $1,833.00	Professional		$100.46	$904.56	$1,833.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.58 / $1,524.25 / $1,575.84	Facility		$1,123.58	$1,524.25	$1,575.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.61 / $1,074.85 / $1,470.05	Facility		$1,044.61	$1,074.85	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.38 / $1,792.93 / $2,204.53	Professional		$1,106.38	$1,792.93	$2,204.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,065.36 / $1,545.69 / $2,082.69	Professional		$1,065.36	$1,545.69	$2,082.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,558.01 / $2,243.83	Professional		$1,001.00	$1,558.01	$2,243.83