Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.02 / $6,470.00 / $21,917.86	Facility		$1,334.02	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.04 / $1,334.02 / $2,534.64	Professional		$739.04	$1,334.02	$2,534.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,923.99 / $11,522.14 / $25,481.74	Facility		$2,923.99	$11,522.14	$25,481.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.45 / $2,167.91 / $7,438.58	Professional		$1,207.45	$2,167.91	$7,438.58
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 $872.60 / $1,392.21 / $2,729.25	Professional		$872.60	$1,392.21	$2,729.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,037.31 / $2,126.56 / $4,350.34	Facility		$1,037.31	$2,126.56	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.31 / $2,053.87 / $3,678.65	Professional		$1,037.31	$2,053.87	$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 $1,169.63 / $1,661.60 / $1,750.04	Facility		$1,169.63	$1,661.60	$1,750.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.53 / $1,151.53 / $1,193.68	Facility		$1,151.53	$1,151.53	$1,193.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.68 / $1,965.40 / $2,369.35	Professional		$1,228.68	$1,965.40	$2,369.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.40 / $1,717.13 / $2,312.92	Professional		$1,174.40	$1,717.13	$2,312.92
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 $1,007.26 / $1,240.00 / $2,369.65	Professional		$1,007.26	$1,240.00	$2,369.65