Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.96 / $14,464.32 / $48,571.45	Facility		$1,496.96	$14,464.32	$48,571.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $953.52 / $2,080.83	Professional		$715.42	$953.52	$2,080.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $27,770.10 / $55,801.25	Facility		$5,897.00	$27,770.10	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.01 / $1,932.30 / $7,063.95	Professional		$1,152.01	$1,932.30	$7,063.95
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 $987.02 / $1,684.46 / $2,459.67	Professional		$987.02	$1,684.46	$2,459.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $981.26 / $1,847.78 / $25,439.92	Facility		$981.26	$1,847.78	$25,439.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.88 / $1,754.85 / $7,813.36	Professional		$1,013.88	$1,754.85	$7,813.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.89 / $892.06 / $1,808.24	Professional		$142.89	$892.06	$1,808.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.54 / $1,575.51 / $1,646.28	Facility		$1,141.54	$1,575.51	$1,646.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.71 / $1,119.19 / $4,000.25	Facility		$1,096.71	$1,119.19	$4,000.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.01 / $1,866.87 / $2,295.44	Professional		$1,152.01	$1,866.87	$2,295.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,285.72 / $29,070.27 / $55,801.25	Facility		$20,285.72	$29,070.27	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,118.50 / $1,609.97 / $2,168.59	Professional		$1,118.50	$1,609.97	$2,168.59
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 $1,041.92 / $1,721.16 / $2,356.80	Professional		$1,041.92	$1,721.16	$2,356.80