Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.01 / $6,470.00 / $22,024.00	Facility		$1,287.01	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.96 / $1,287.01 / $2,445.32	Professional		$720.96	$1,287.01	$2,445.32
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 $1,178.95 / $2,131.11 / $7,225.35	Professional		$1,178.95	$2,131.11	$7,225.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $4,960.67	Facility		$1,031.00	$1,031.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.05 / $1,363.03 / $2,631.93	Professional		$852.05	$1,363.03	$2,631.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.50 / $2,081.10 / $4,350.34	Facility		$1,023.50	$2,081.10	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.50 / $1,983.29 / $3,678.65	Professional		$1,023.50	$1,983.29	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $491.40 / $1,664.26	Professional		$79.43	$491.40	$1,664.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $1,624.08 / $1,704.48	Facility		$1,174.43	$1,624.08	$1,704.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.34 / $1,124.34 / $1,212.66	Facility		$1,124.34	$1,124.34	$1,212.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.70 / $1,916.71 / $2,307.66	Professional		$1,196.70	$1,916.71	$2,307.66
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 $1,146.68 / $1,672.43 / $2,252.71	Professional		$1,146.68	$1,672.43	$2,252.71
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 $952.12 / $1,281.13 / $2,316.51	Professional		$952.12	$1,281.13	$2,316.51