Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.67 / $5,128.00 / $20,680.40	Facility		$1,553.67	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.95 / $988.65 / $2,119.60	Professional		$825.95	$988.65	$2,119.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,650.00 / $27,770.10 / $55,801.25	Facility		$12,650.00	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.29 / $1,966.73 / $8,470.17	Professional		$1,195.29	$1,966.73	$8,470.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.11 / $1,748.26 / $2,553.50	Professional		$1,004.11	$1,748.26	$2,553.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,164.50 / $1,980.36 / $17,873.87	Facility		$1,164.50	$1,980.36	$17,873.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.92 / $1,911.50 / $7,813.36	Professional		$1,185.92	$1,911.50	$7,813.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $932.43 / $1,859.63	Professional		$145.80	$932.43	$1,859.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,338.93 / $1,633.02 / $1,905.48	Facility		$1,338.93	$1,633.02	$1,905.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.94 / $1,161.24 / $4,000.25	Facility		$1,137.94	$1,161.24	$4,000.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.61 / $1,937.00 / $2,381.67	Professional		$1,235.61	$1,937.00	$2,381.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,160.54 / $1,670.45 / $2,250.06	Professional		$1,160.54	$1,670.45	$2,250.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.83 / $1,656.68 / $2,444.64	Professional		$1,071.83	$1,656.68	$2,444.64