Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.51 / $6,470.00 / $21,917.86	Facility		$1,334.51	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.66 / $1,228.78 / $2,275.71	Professional		$739.66	$1,228.78	$2,275.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $11,522.14 / $25,481.74	Facility		$2,031.87	$11,522.14	$25,481.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.93 / $2,188.91 / $7,441.20	Professional		$1,207.93	$2,188.91	$7,441.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $4,960.67	Facility		$906.00	$906.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.30 / $1,392.81 / $2,730.21	Professional		$873.30	$1,392.81	$2,730.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,038.09 / $2,126.56 / $4,350.34	Facility		$1,038.09	$2,126.56	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.09 / $2,055.28 / $3,678.65	Professional		$1,038.09	$2,055.28	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $494.29 / $1,723.52	Professional		$78.89	$494.29	$1,723.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,190.88 / $1,662.94 / $1,750.71	Facility		$1,190.88	$1,662.94	$1,750.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.98 / $1,151.98 / $1,194.14	Facility		$1,151.98	$1,151.98	$1,194.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.16 / $1,966.93 / $2,370.25	Professional		$1,229.16	$1,966.93	$2,370.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,600.42 / $11,522.14 / $22,040.55	Facility		$7,600.42	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.86 / $1,717.79 / $2,313.81	Professional		$1,174.86	$1,717.79	$2,313.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.79 / $1,365.09 / $2,452.83	Professional		$992.79	$1,365.09	$2,452.83