Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.77 / $6,470.00 / $22,024.00	Facility		$2,000.77	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $2,000.77 / $3,735.59	Professional		$1,049.38	$2,000.77	$3,735.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.21 / $10,956.90 / $24,231.69	Facility		$1,799.21	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.75 / $3,268.99 / $11,215.20	Professional		$1,847.75	$3,268.99	$11,215.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $3,759.09	Facility		$1,031.00	$1,031.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.67 / $2,070.07 / $4,116.47	Professional		$1,221.67	$2,070.07	$4,116.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,475.76 / $1,917.74 / $3,438.45	Facility		$1,475.76	$1,917.74	$3,438.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,475.76 / $1,921.72 / $3,438.45	Professional		$1,475.76	$1,921.72	$3,438.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $706.05 / $2,574.45	Professional		$157.58	$706.05	$2,574.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,685.60 / $2,366.44 / $2,637.79	Facility		$1,685.60	$2,366.44	$2,637.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.82 / $1,762.17 / $1,799.21	Facility		$1,504.82	$1,762.17	$1,799.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.96 / $2,984.25 / $3,571.77	Professional		$1,851.96	$2,984.25	$3,571.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,995.08 / $10,950.64 / $20,959.32	Facility		$7,995.08	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,797.18 / $2,588.17 / $3,364.85	Professional		$1,797.18	$2,588.17	$3,364.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,481.69 / $2,017.68 / $3,575.70	Professional		$1,481.69	$2,017.68	$3,575.70