Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.48 / $6,470.00 / $20,680.40	Facility		$1,646.48	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,646.48 / $3,128.31	Professional		$887.87	$1,646.48	$3,128.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.40 / $6,908.05 / $14,605.02	Facility		$1,478.40	$6,908.05	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.51 / $2,678.87 / $9,196.73	Professional		$1,514.51	$2,678.87	$9,196.73
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 $1,055.69 / $1,734.92 / $3,357.00	Professional		$1,055.69	$1,734.92	$3,357.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,243.71 / $1,513.53 / $2,920.55	Facility		$1,243.71	$1,513.53	$2,920.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.71 / $1,533.97 / $2,920.55	Professional		$1,243.71	$1,533.97	$2,920.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $603.91 / $2,093.05	Professional		$116.13	$603.91	$2,093.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,450.59 / $2,005.98 / $2,167.44	Facility		$1,450.59	$2,005.98	$2,167.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,439.18 / $1,478.40	Facility		$1,126.18	$1,439.18	$1,478.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.74 / $2,445.53 / $2,934.47	Professional		$1,521.74	$2,445.53	$2,934.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,467.77 / $2,126.69 / $2,777.48	Professional		$1,467.77	$2,126.69	$2,777.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.99 / $1,649.17 / $3,018.13	Professional		$1,224.99	$1,649.17	$3,018.13