Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.81 / $4,500.00 / $18,711.00	Facility		$1,495.81	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $1,495.81 / $2,842.04	Professional		$833.23	$1,495.81	$2,842.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,340.84 / $6,858.44 / $14,605.02	Facility		$1,340.84	$6,858.44	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.26 / $2,361.34 / $8,348.33	Professional		$1,353.26	$2,361.34	$8,348.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.34 / $1,568.96 / $3,054.40	Professional		$983.34	$1,568.96	$3,054.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,167.50 / $1,477.81 / $2,743.00	Facility		$1,167.50	$1,477.81	$2,743.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.50 / $1,485.98 / $2,743.00	Professional		$1,167.50	$1,485.98	$2,743.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $534.74 / $1,929.78	Professional		$116.38	$534.74	$1,929.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.49 / $1,871.31 / $1,965.78	Facility		$1,323.49	$1,871.31	$1,965.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,295.13 / $1,340.84	Facility		$1,126.18	$1,295.13	$1,340.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.15 / $2,209.65 / $2,661.43	Professional		$1,380.15	$2,209.65	$2,661.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,320.86 / $1,922.74 / $2,515.85	Professional		$1,320.86	$1,922.74	$2,515.85
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 $1,124.00 / $1,564.07 / $2,765.06	Professional		$1,124.00	$1,564.07	$2,765.06