Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.72 / $6,470.00 / $20,680.40	Facility		$1,463.72	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,463.72 / $2,654.21	Professional		$745.62	$1,463.72	$2,654.21
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 $1,342.08 / $2,306.54 / $8,243.10	Professional		$1,342.08	$2,306.54	$8,243.10
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 $897.67 / $1,462.92 / $3,044.24	Professional		$897.67	$1,462.92	$3,044.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,025.34 / $1,786.45 / $3,376.68	Facility		$1,025.34	$1,786.45	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.34 / $1,786.45 / $3,071.25	Professional		$1,025.34	$1,786.45	$3,071.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $565.01 / $1,890.06	Professional		$116.13	$565.01	$1,890.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,180.90 / $1,677.68 / $1,933.62	Facility		$1,180.90	$1,677.68	$1,933.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,295.13 / $1,295.13 / $1,449.37	Facility		$1,295.13	$1,295.13	$1,449.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.03 / $2,178.92 / $2,622.82	Professional		$1,358.03	$2,178.92	$2,622.82
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 $1,320.86 / $1,897.25 / $2,473.04	Professional		$1,320.86	$1,897.25	$2,473.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,613.00 / $2,937.00 / $11,941.00	Facility		$1,613.00	$2,937.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.39 / $1,356.80 / $2,534.39	Professional		$998.39	$1,356.80	$2,534.39