Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.65 / $2,769.52 / $18,711.00	Facility		$1,589.65	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.97 / $1,148.54 / $2,285.39	Professional		$881.97	$1,148.54	$2,285.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.32 / $14,302.50 / $28,049.69	Facility		$1,158.32	$14,302.50	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.33 / $2,141.40 / $7,424.40	Professional		$1,226.33	$2,141.40	$7,424.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.25 / $1,788.74 / $2,629.92	Professional		$1,090.25	$1,788.74	$2,629.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,076.46 / $1,969.96 / $5,463.26	Facility		$1,076.46	$1,969.96	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.31 / $1,935.57 / $4,024.14	Professional		$1,082.31	$1,935.57	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,066.31 / $2,039.63	Professional		$150.24	$1,066.31	$2,039.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $1,693.76 / $1,746.69	Facility		$1,240.00	$1,693.76	$1,746.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,158.32 / $1,191.40 / $2,173.03	Facility		$1,158.32	$1,191.40	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.33 / $1,987.32 / $2,443.54	Professional		$1,226.33	$1,987.32	$2,443.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,181.33 / $1,713.84 / $2,308.50	Professional		$1,181.33	$1,713.84	$2,308.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,519.00 / $18,181.98 / $29,082.50	Facility		$5,519.00	$18,181.98	$29,082.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.11 / $1,742.31 / $2,490.98	Professional		$1,102.11	$1,742.31	$2,490.98