Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.41 / $6,470.00 / $20,680.40	Facility		$1,368.41	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.02 / $1,368.41 / $2,470.69	Professional		$682.02	$1,368.41	$2,470.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,232.99 / $6,622.22 / $14,645.34	Facility		$1,232.99	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.68 / $2,246.28 / $7,703.25	Professional		$1,267.68	$2,246.28	$7,703.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.29 / $1,350.20 / $2,842.82	Professional		$835.29	$1,350.20	$2,842.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $946.83 / $1,239.79 / $2,337.54	Facility		$946.83	$1,239.79	$2,337.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.83 / $1,239.79 / $2,337.54	Professional		$946.83	$1,239.79	$2,337.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $506.25 / $1,784.36	Professional		$116.38	$506.25	$1,784.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.31 / $1,537.65 / $1,807.66	Facility		$1,086.31	$1,537.65	$1,807.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $1,214.49 / $1,232.99	Facility		$925.25	$1,214.49	$1,232.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,273.48 / $2,036.99 / $2,454.34	Professional		$1,273.48	$2,036.99	$2,454.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.61 / $1,755.00 / $2,319.07	Professional		$1,238.61	$1,755.00	$2,319.07
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 $929.37 / $1,308.75 / $2,361.36	Professional		$929.37	$1,308.75	$2,361.36