Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.17 / $1,308.48 / $2,881.31	Professional		$979.17	$1,308.48	$2,881.31
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 $1,595.65 / $2,738.36 / $9,717.23	Professional		$1,595.65	$2,738.36	$9,717.23
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 $1,366.19 / $2,312.80 / $3,378.07	Professional		$1,366.19	$2,312.80	$3,378.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,391.88 / $2,529.58 / $12,028.17	Facility		$1,391.88	$2,529.58	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,444.80 / $2,402.62 / $7,813.36	Professional		$1,444.80	$2,402.62	$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 $1,654.24 / $2,164.59 / $2,264.40	Facility		$1,654.24	$2,164.59	$2,264.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,508.49 / $1,539.63 / $4,000.25	Facility		$1,508.49	$1,539.63	$4,000.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,620.61 / $2,568.19 / $3,157.76	Professional		$1,620.61	$2,568.19	$3,157.76
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 $1,538.46 / $2,214.78 / $2,983.25	Professional		$1,538.46	$2,214.78	$2,983.25
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 $1,438.80 / $2,366.31 / $3,240.21	Professional		$1,438.80	$2,366.31	$3,240.21