Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.20 / $10,122.46 / $20,680.40	Facility		$1,391.20	$10,122.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.45 / $4,024.39 / $13,138.30	Professional		$864.45	$4,024.39	$13,138.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,939.76 / $26,106.65 / $49,939.07	Facility		$9,939.76	$26,106.65	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.79 / $10,826.85 / $41,874.56	Professional		$1,384.79	$10,826.85	$41,874.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,839.69 / $9,839.69 / $16,392.81	Facility		$9,839.69	$9,839.69	$16,392.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.34 / $2,506.98 / $17,450.96	Professional		$1,215.34	$2,506.98	$17,450.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,171.33 / $8,032.80 / $19,039.93	Facility		$1,171.33	$8,032.80	$19,039.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.33 / $6,486.13 / $17,985.46	Professional		$1,171.33	$6,486.13	$17,985.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.50 / $1,605.49 / $12,446.27	Professional		$420.50	$1,605.49	$12,446.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,636.14 / $10,745.16 / $13,408.24	Facility		$1,636.14	$10,745.16	$13,408.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,629.71 / $7,777.23 / $8,062.95	Facility		$6,629.71	$7,777.23	$8,062.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.61 / $2,539.58 / $14,959.31	Professional		$1,312.61	$2,539.58	$14,959.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,049.61 / $26,091.73 / $49,939.07	Facility		$19,049.61	$26,091.73	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,214.85 / $2,456.92 / $13,171.93	Professional		$1,214.85	$2,456.92	$13,171.93
United Facility/Professional Facility Modifier Low / Median / High Price $18,734.00 / $33,073.15 / $52,901.28	Facility		$18,734.00	$33,073.15	$52,901.28
United Facility/Professional Professional Modifier Low / Median / High Price $7,194.38 / $12,488.55 / $17,114.18	Professional		$7,194.38	$12,488.55	$17,114.18