Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.31 / $2,221.92 / $2,848.92	Facility		$1,252.31	$2,221.92	$2,848.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.34 / $1,252.31 / $2,590.85	Professional		$863.34	$1,252.31	$2,590.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,372.59 / $9,455.12	Facility		$55.00	$1,372.59	$9,455.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.85 / $474.74 / $474.74	Facility	AS	$141.85	$474.74	$474.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.68 / $2,445.73 / $9,418.65	Professional		$1,436.68	$2,445.73	$9,418.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,031.00 / $47,402.00 / $49,858.00	Facility		$20,031.00	$47,402.00	$49,858.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.81 / $2,049.13 / $3,076.80	Professional		$1,261.81	$2,049.13	$3,076.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,051.30 / $1,807.28 / $2,575.46	Facility		$1,051.30	$1,807.28	$2,575.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.36 / $1,924.06 / $2,578.48	Professional		$1,241.36	$1,924.06	$2,578.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $428.80 / $2,192.44	Professional		$134.52	$428.80	$2,192.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,399.03 / $1,954.01 / $2,087.05	Facility		$1,399.03	$1,954.01	$2,087.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.59 / $1,372.59 / $1,423.56	Facility		$1,372.59	$1,372.59	$1,423.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,465.30 / $2,355.48 / $2,919.69	Professional		$1,465.30	$2,355.48	$2,919.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,399.86 / $2,047.80 / $2,758.33	Professional		$1,399.86	$2,047.80	$2,758.33
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 $1,228.08 / $2,046.80 / $2,976.63	Professional		$1,228.08	$2,046.80	$2,976.63