Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.12 / $5,128.00 / $20,680.40	Facility		$1,433.12	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.11 / $934.62 / $1,900.93	Professional		$694.11	$934.62	$1,900.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $21,414.37 / $40,963.26	Facility		$11,500.00	$21,414.37	$40,963.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.55 / $1,980.38 / $6,920.33	Professional		$1,127.55	$1,980.38	$6,920.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,437.81 / $4,437.81 / $7,393.34	Facility		$4,437.81	$4,437.81	$7,393.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.50 / $1,651.26 / $2,414.28	Professional		$922.50	$1,651.26	$2,414.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $907.79 / $1,713.25 / $8,968.34	Facility		$907.79	$1,713.25	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.63 / $1,615.46 / $4,981.28	Professional		$955.63	$1,615.46	$4,981.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.89 / $896.59 / $1,809.96	Professional		$142.89	$896.59	$1,809.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,025.08 / $1,409.68 / $1,605.99	Facility		$1,025.08	$1,409.68	$1,605.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.52 / $1,095.43 / $2,928.53	Facility		$1,074.52	$1,095.43	$2,928.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.55 / $1,827.23 / $2,246.71	Professional		$1,127.55	$1,827.23	$2,246.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,095.85 / $1,575.78 / $2,122.54	Professional		$1,095.85	$1,575.78	$2,122.54
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 $951.30 / $1,682.37 / $2,420.60	Professional		$951.30	$1,682.37	$2,420.60