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 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,389.32 / $2,790.71	Professional		$989.40	$1,389.32	$2,790.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,750.27 / $14,156.69	Facility		$3,403.52	$5,750.27	$14,156.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,613.46 / $2,835.28 / $10,434.37	Professional		$1,613.46	$2,835.28	$10,434.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,315.02 / $1,315.02 / $2,190.81	Facility		$1,315.02	$1,315.02	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.83 / $2,311.83 / $3,405.69	Professional		$1,400.83	$2,311.83	$3,405.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,378.02 / $2,186.73 / $3,393.75	Facility		$1,378.02	$2,186.73	$3,393.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.02 / $2,183.60 / $2,862.32	Professional		$1,378.02	$2,183.60	$2,862.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $424.62 / $2,422.49	Professional		$127.57	$424.62	$2,422.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,574.14 / $2,148.69 / $2,310.83	Facility		$1,574.14	$2,148.69	$2,310.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.85 / $1,522.08 / $1,576.19	Facility		$848.85	$1,522.08	$1,576.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.41 / $2,612.92 / $3,232.75	Professional		$1,622.41	$2,612.92	$3,232.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.09 / $5,468.48 / $10,466.57	Facility		$3,548.09	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,552.32 / $2,267.37 / $3,054.09	Professional		$1,552.32	$2,267.37	$3,054.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $3,905.54 / $10,522.00	Facility		$1,550.00	$3,905.54	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,389.49 / $2,408.63 / $3,298.16	Professional		$1,389.49	$2,408.63	$3,298.16