Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.01 / $2,997.37 / $3,871.39	Facility		$1,687.01	$2,997.37	$3,871.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,687.01 / $3,499.63	Professional		$1,058.71	$1,687.01	$3,499.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,859.11 / $12,762.56	Facility		$55.00	$1,859.11	$12,762.56
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.28 / $640.19 / $640.19	Facility	AS	$191.28	$640.19	$640.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.89 / $3,306.47 / $12,740.78	Professional		$1,946.89	$3,306.47	$12,740.78
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 $1,717.67 / $2,762.39 / $4,147.76	Professional		$1,717.67	$2,762.39	$4,147.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,311.61 / $2,453.98 / $3,506.15	Facility		$1,311.61	$2,453.98	$3,506.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.23 / $2,619.35 / $3,506.15	Professional		$1,542.23	$2,619.35	$3,506.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $519.32 / $2,985.90	Professional		$160.08	$519.32	$2,985.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.49 / $2,629.91 / $2,820.70	Facility		$1,862.49	$2,629.91	$2,820.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.11 / $1,859.11 / $1,923.97	Facility		$1,859.11	$1,859.11	$1,923.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,980.38 / $3,191.40 / $3,946.03	Professional		$1,980.38	$3,191.40	$3,946.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,896.05 / $2,767.65 / $3,727.96	Professional		$1,896.05	$2,767.65	$3,727.96
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 $1,711.41 / $2,938.86 / $4,024.21	Professional		$1,711.41	$2,938.86	$4,024.21