Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.37 / $6,470.00 / $20,680.40	Facility		$1,484.37	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,376.18 / $2,491.57	Professional		$807.50	$1,376.18	$2,491.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,294.67 / $6,858.44 / $14,605.02	Facility		$1,294.67	$6,858.44	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.07 / $2,346.46 / $8,296.28	Professional		$1,349.07	$2,346.46	$8,296.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,876.24	Facility		$734.00	$734.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.22 / $1,560.32 / $3,032.57	Professional		$958.22	$1,560.32	$3,032.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $1,467.34 / $2,661.40	Facility		$1,145.00	$1,467.34	$2,661.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.00 / $1,476.53 / $2,661.40	Professional		$1,145.00	$1,476.53	$2,661.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $573.79 / $1,924.39	Professional		$116.38	$573.79	$1,924.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,309.23 / $1,823.74 / $1,954.39	Facility		$1,309.23	$1,823.74	$1,954.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,294.67 / $1,333.07	Facility		$1,126.18	$1,294.67	$1,333.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.16 / $2,202.81 / $2,646.01	Professional		$1,372.16	$2,202.81	$2,646.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,320.40 / $1,916.78 / $2,499.98	Professional		$1,320.40	$1,916.78	$2,499.98
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.06 / $1,458.57 / $2,641.94	Professional		$1,123.06	$1,458.57	$2,641.94