Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.48 / $7,144.00 / $27,982.24	Facility		$2,387.48	$7,144.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.44 / $2,387.48 / $4,505.93	Professional		$1,281.44	$2,387.48	$4,505.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,149.73 / $11,094.00 / $24,231.69	Facility		$2,149.73	$11,094.00	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.21 / $3,766.90 / $13,386.23	Professional		$2,183.21	$3,766.90	$13,386.23
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 $1,483.45 / $2,502.67 / $4,901.58	Professional		$1,483.45	$2,502.67	$4,901.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,646.87 / $2,093.61 / $3,990.87	Facility		$1,646.87	$2,093.61	$3,990.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.87 / $2,157.98 / $3,990.87	Professional		$1,646.87	$2,157.98	$3,990.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $884.64 / $3,086.12	Professional		$195.32	$884.64	$3,086.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,032.48 / $2,881.67 / $3,151.68	Facility		$2,032.48	$2,881.67	$3,151.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,579.29 / $2,103.28 / $2,149.73	Facility		$1,579.29	$2,103.28	$2,149.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,212.76 / $3,564.82 / $4,267.00	Professional		$2,212.76	$3,564.82	$4,267.00
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 $2,145.07 / $3,092.41 / $4,016.20	Professional		$2,145.07	$3,092.41	$4,016.20
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 $1,715.48 / $2,295.98 / $4,302.52	Professional		$1,715.48	$2,295.98	$4,302.52