Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.70 / $5,128.00 / $20,680.40	Facility		$1,457.70	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $928.79 / $2,042.78	Professional		$693.44	$928.79	$2,042.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $27,156.71 / $55,801.25	Facility		$9,886.41	$27,156.71	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.77 / $1,967.91 / $6,884.48	Professional		$1,123.77	$1,967.91	$6,884.48
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 $965.20 / $1,640.27 / $2,394.92	Professional		$965.20	$1,640.27	$2,394.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $987.42 / $1,796.26 / $12,028.17	Facility		$987.42	$1,796.26	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.81 / $1,706.28 / $7,813.36	Professional		$1,017.81	$1,706.28	$7,813.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $925.58 / $1,814.88	Professional		$100.41	$925.58	$1,814.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,167.18 / $1,518.22 / $1,604.80	Facility		$1,167.18	$1,518.22	$1,604.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.08 / $1,090.85 / $2,429.53	Facility		$1,069.08	$1,090.85	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.90 / $1,819.61 / $2,237.34	Professional		$1,142.90	$1,819.61	$2,237.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $27,419.55 / $55,801.25	Facility		$12,479.97	$27,419.55	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.32 / $1,569.21 / $2,113.69	Professional		$1,090.32	$1,569.21	$2,113.69
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 $1,018.60 / $1,595.49 / $2,296.94	Professional		$1,018.60	$1,595.49	$2,296.94