Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.66 / $7,144.00 / $27,982.24	Facility		$2,290.66	$7,144.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $2,290.66 / $4,306.87	Professional		$1,224.65	$2,290.66	$4,306.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,060.61 / $10,956.90 / $24,231.69	Facility		$2,060.61	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.28 / $3,610.64 / $12,837.53	Professional		$2,079.28	$3,610.64	$12,837.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.00 / $1,431.00 / $3,759.09	Facility		$1,431.00	$1,431.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.59 / $2,389.14 / $4,704.22	Professional		$1,415.59	$2,389.14	$4,704.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,646.50 / $2,005.90 / $3,882.76	Facility		$1,646.50	$2,005.90	$3,882.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.50 / $2,058.17 / $3,882.76	Professional		$1,646.50	$2,058.17	$3,882.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $854.61 / $2,940.63	Professional		$157.62	$854.61	$2,940.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,951.57 / $2,746.33 / $3,021.03	Facility		$1,951.57	$2,746.33	$3,021.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,579.29 / $2,014.94 / $2,060.61	Facility		$1,579.29	$2,014.94	$2,060.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,121.03 / $3,414.16 / $4,090.11	Professional		$2,121.03	$3,414.16	$4,090.11
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 $2,054.98 / $2,964.22 / $3,847.52	Professional		$2,054.98	$2,964.22	$3,847.52
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 $1,665.56 / $2,201.62 / $4,112.45	Professional		$1,665.56	$2,201.62	$4,112.45