Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.85 / $9,305.92 / $26,095.61	Facility		$1,372.85	$9,305.92	$26,095.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.08 / $992.86 / $2,048.48	Professional		$756.08	$992.86	$2,048.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $15,988.64 / $31,278.54	Facility		$9,817.25	$15,988.64	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.97 / $1,849.24 / $6,419.18	Professional		$1,104.97	$1,849.24	$6,419.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.86 / $1,544.79 / $2,273.42	Professional		$945.86	$1,544.79	$2,273.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $960.63 / $1,787.77 / $15,969.29	Facility		$960.63	$1,787.77	$15,969.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.49 / $1,679.06 / $4,564.68	Professional		$1,007.49	$1,679.06	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $891.36 / $1,761.93	Professional		$100.46	$891.36	$1,761.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,134.34 / $1,467.30 / $1,547.03	Facility		$1,134.34	$1,467.30	$1,547.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.04 / $1,030.08 / $2,429.53	Facility		$1,002.04	$1,030.08	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.26 / $1,718.22 / $2,112.67	Professional		$1,087.26	$1,718.22	$2,112.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,931.42 / $16,342.14 / $31,278.54	Facility		$11,931.42	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,021.94 / $1,481.78 / $1,995.92	Professional		$1,021.94	$1,481.78	$1,995.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.60 / $1,509.34 / $2,151.14	Professional		$963.60	$1,509.34	$2,151.14