Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.21 / $2,233.25 / $20,680.40	Facility		$940.21	$2,233.25	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.51 / $940.21 / $2,030.95	Professional		$722.51	$940.21	$2,030.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $13,249.10 / $26,963.11	Facility		$1,154.70	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.69 / $2,133.35 / $7,718.48	Professional		$1,220.69	$2,133.35	$7,718.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.18 / $1,755.30 / $2,573.57	Professional		$1,023.18	$1,755.30	$2,573.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,056.30 / $1,828.17 / $7,931.04	Facility		$1,056.30	$1,828.17	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.10 / $1,756.02 / $3,551.73	Professional		$1,065.10	$1,756.02	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $468.70 / $1,595.39	Professional		$112.14	$468.70	$1,595.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,115.83 / $1,584.45 / $1,738.65	Facility		$1,115.83	$1,584.45	$1,738.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $1,185.92 / $1,964.09	Facility		$1,154.70	$1,185.92	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.69 / $1,977.95 / $2,432.29	Professional		$1,220.69	$1,977.95	$2,432.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,177.64 / $1,705.95 / $2,297.87	Professional		$1,177.64	$1,705.95	$2,297.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.04 / $1,726.20 / $2,490.02	Professional		$1,085.04	$1,726.20	$2,490.02