Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $20,680.40	Facility		$1,733.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.30 / $1,296.58 / $2,590.05	Professional		$918.30	$1,296.58	$2,590.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $16,223.75 / $31,278.54	Facility		$5,897.00	$16,223.75	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.95 / $2,550.59 / $9,089.40	Professional		$1,483.95	$2,550.59	$9,089.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.04 / $2,101.54 / $3,075.21	Professional		$1,269.04	$2,101.54	$3,075.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,265.04 / $2,194.71 / $12,766.31	Facility		$1,265.04	$2,194.71	$12,766.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.53 / $2,170.27 / $4,564.68	Professional		$1,277.53	$2,170.27	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,202.95 / $2,328.92	Professional		$100.46	$1,202.95	$2,328.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,434.79 / $1,947.69 / $2,068.29	Facility		$1,434.79	$1,947.69	$2,068.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,391.62 / $1,410.76 / $2,429.53	Facility		$1,391.62	$1,410.76	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.12 / $2,353.21 / $2,893.45	Professional		$1,452.12	$2,353.21	$2,893.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,419.26 / $2,029.39 / $2,733.54	Professional		$1,419.26	$2,029.39	$2,733.54
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 $1,285.99 / $2,010.66 / $2,966.97	Professional		$1,285.99	$2,010.66	$2,966.97