Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.46 / $6,470.00 / $20,680.40	Facility		$1,409.46	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,409.46 / $2,539.12	Professional		$698.66	$1,409.46	$2,539.12
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 $1,290.34 / $2,307.96 / $7,932.90	Professional		$1,290.34	$2,307.96	$7,932.90
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 $833.87 / $1,396.86 / $2,933.03	Professional		$833.87	$1,396.86	$2,933.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $975.59 / $1,764.78 / $3,376.68	Facility		$975.59	$1,764.78	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.59 / $1,764.78 / $2,957.81	Professional		$975.59	$1,764.78	$2,957.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $518.55 / $1,835.35	Professional		$116.38	$518.55	$1,835.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,106.10 / $1,569.21 / $1,859.92	Facility		$1,106.10	$1,569.21	$1,859.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.10 / $1,247.10 / $1,449.37	Facility		$1,247.10	$1,247.10	$1,449.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.68 / $2,095.88 / $2,521.73	Professional		$1,307.68	$2,095.88	$2,521.73
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 $1,271.89 / $1,824.94 / $2,381.35	Professional		$1,271.89	$1,824.94	$2,381.35
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 $930.61 / $1,322.46 / $2,524.51	Professional		$930.61	$1,322.46	$2,524.51