Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.08 / $6,470.00 / $20,680.40	Facility		$1,297.08	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.88 / $1,297.08 / $2,319.32	Professional		$642.88	$1,297.08	$2,319.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.83 / $2,128.17 / $7,304.33	Professional		$1,187.83	$2,128.17	$7,304.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $1,267.34 / $2,703.45	Professional		$776.58	$1,267.34	$2,703.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $887.84 / $1,731.13 / $3,376.68	Facility		$887.84	$1,731.13	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.84 / $1,652.98 / $2,787.60	Professional		$887.84	$1,652.98	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $473.95 / $1,666.69	Professional		$116.13	$473.95	$1,666.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,013.32 / $1,449.21 / $1,711.18	Facility		$1,013.32	$1,449.21	$1,711.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.35 / $1,148.35 / $1,167.18	Facility		$1,148.35	$1,148.35	$1,167.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.13 / $1,928.27 / $2,321.37	Professional		$1,204.13	$1,928.27	$2,321.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,171.17 / $1,679.00 / $2,211.76	Professional		$1,171.17	$1,679.00	$2,211.76
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 $884.03 / $1,252.71 / $2,421.54	Professional		$884.03	$1,252.71	$2,421.54