Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.51 / $10,180.24 / $22,024.00	Facility		$1,138.51	$10,180.24	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $1,138.51 / $1,925.40	Professional		$625.29	$1,138.51	$1,925.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.01 / $1,911.93 / $6,717.90	Professional		$1,052.01	$1,911.93	$6,717.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.00 / $1,398.00 / $2,876.24	Facility		$1,398.00	$1,398.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.99 / $1,257.40 / $2,330.03	Professional		$731.99	$1,257.40	$2,330.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $885.19 / $1,426.06 / $2,522.36	Facility		$885.19	$1,426.06	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.19 / $1,426.06 / $2,250.00	Professional		$885.19	$1,426.06	$2,250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $789.29 / $1,696.97	Professional		$78.92	$789.29	$1,696.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.58 / $922.95 / $1,420.40	Facility		$726.58	$922.95	$1,420.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.08 / $1,016.08 / $1,077.93	Facility		$1,016.08	$1,016.08	$1,077.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.85 / $1,733.33 / $2,088.14	Professional		$1,082.85	$1,733.33	$2,088.14
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 $1,036.27 / $1,513.33 / $1,971.45	Professional		$1,036.27	$1,513.33	$1,971.45
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 $843.87 / $1,168.45 / $2,142.14	Professional		$843.87	$1,168.45	$2,142.14