Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.40 / $17,743.00 / $35,717.44	Facility		$2,044.40	$17,743.00	$35,717.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.05 / $1,300.46 / $2,999.54	Professional		$1,002.05	$1,300.46	$2,999.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,152.00 / $27,770.10 / $55,801.25	Facility		$13,152.00	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.86 / $2,721.00 / $9,662.48	Professional		$1,610.86	$2,721.00	$9,662.48
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 $1,358.49 / $2,300.46 / $3,359.06	Professional		$1,358.49	$2,300.46	$3,359.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,384.74 / $2,516.17 / $12,028.17	Facility		$1,384.74	$2,516.17	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.05 / $2,390.28 / $7,813.36	Professional		$1,434.05	$2,390.28	$7,813.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $363.94 / $2,378.16	Professional		$107.93	$363.94	$2,378.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,577.32 / $2,134.62 / $2,252.16	Facility		$1,577.32	$2,134.62	$2,252.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.34 / $1,530.95 / $4,000.25	Facility		$1,500.34	$1,530.95	$4,000.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,610.86 / $2,553.71 / $3,139.96	Professional		$1,610.86	$2,553.71	$3,139.96
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 $1,530.14 / $2,202.29 / $2,966.43	Professional		$1,530.14	$2,202.29	$2,966.43
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 $1,430.44 / $2,353.62 / $3,222.83	Professional		$1,430.44	$2,353.62	$3,222.83