Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.19 / $7,920.26 / $23,849.56	Facility		$2,079.19	$7,920.26	$23,849.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $2,079.19 / $3,950.46	Professional		$1,162.16	$2,079.19	$3,950.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.10 / $11,182.10 / $24,231.69	Facility		$1,880.10	$11,182.10	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.23 / $3,393.87 / $11,658.15	Professional		$1,935.23	$3,393.87	$11,658.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $3,759.09	Facility		$1,031.00	$1,031.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.35 / $2,223.89 / $4,226.63	Professional		$1,374.35	$2,223.89	$4,226.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,618.30 / $1,978.11 / $3,803.80	Facility		$1,618.30	$1,978.11	$3,803.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,618.30 / $2,004.83 / $3,803.80	Professional		$1,618.30	$2,004.83	$3,803.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $777.94 / $2,629.36	Professional		$157.37	$777.94	$2,629.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,901.66 / $2,629.75 / $2,756.38	Facility		$1,901.66	$2,629.75	$2,756.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $1,829.67 / $1,880.10	Facility		$1,462.03	$1,829.67	$1,880.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.23 / $3,111.32 / $3,731.81	Professional		$1,935.23	$3,111.32	$3,731.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,866.02 / $2,704.55 / $3,562.72	Professional		$1,866.02	$2,704.55	$3,562.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,633.00 / $2,088.73 / $3,884.56	Professional		$1,633.00	$2,088.73	$3,884.56