Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.58 / $7,920.26 / $22,024.00	Facility		$2,106.58	$7,920.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.20 / $2,106.58 / $4,002.50	Professional		$1,060.20	$2,106.58	$4,002.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.24 / $10,956.90 / $24,231.69	Facility		$1,889.24	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,910.60 / $3,297.28 / $11,796.53	Professional		$1,910.60	$3,297.28	$11,796.53
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 $1,279.30 / $2,154.75 / $4,344.66	Professional		$1,279.30	$2,154.75	$4,344.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,505.32 / $1,917.74 / $3,574.06	Facility		$1,505.32	$1,917.74	$3,574.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.32 / $1,929.74 / $3,574.06	Professional		$1,505.32	$1,929.74	$3,574.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $780.98 / $2,656.80	Professional		$157.62	$780.98	$2,656.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,696.72 / $2,358.40 / $2,769.78	Facility		$1,696.72	$2,358.40	$2,769.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.82 / $1,856.39 / $1,889.24	Facility		$1,504.82	$1,856.39	$1,889.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,946.55 / $3,130.18 / $3,754.82	Professional		$1,946.55	$3,130.18	$3,754.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,995.08 / $10,950.64 / $20,959.32	Facility		$7,995.08	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,893.28 / $2,689.09 / $3,544.77	Professional		$1,893.28	$2,689.09	$3,544.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $13,013.21 / $21,573.23	Facility		$1,771.00	$13,013.21	$21,573.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.12 / $1,940.64 / $3,688.15	Professional		$1,485.12	$1,940.64	$3,688.15