Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.44 / $7,863.94 / $21,917.86	Facility		$2,017.44	$7,863.94	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $2,017.44 / $3,533.82	Professional		$1,055.19	$2,017.44	$3,533.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,851.86 / $10,956.90 / $24,231.69	Facility		$1,851.86	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.66 / $3,178.31 / $10,824.83	Professional		$1,888.66	$3,178.31	$10,824.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.50 / $1,995.41 / $3,981.14	Professional		$1,173.50	$1,995.41	$3,981.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,406.03 / $1,917.74 / $3,438.45	Facility		$1,406.03	$1,917.74	$3,438.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.03 / $1,917.74 / $3,438.45	Professional		$1,406.03	$1,917.74	$3,438.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $699.26 / $2,468.00	Professional		$116.54	$699.26	$2,468.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,618.20 / $2,333.84 / $2,542.65	Facility		$1,618.20	$2,333.84	$2,542.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.51 / $1,851.86 / $1,851.86	Facility		$1,481.51	$1,851.86	$1,851.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,941.80 / $2,883.05 / $3,450.64	Professional		$1,941.80	$2,883.05	$3,450.64
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 $1,888.66 / $2,508.69 / $3,536.12	Professional		$1,888.66	$2,508.69	$3,536.12
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 $1,355.84 / $1,959.55 / $3,454.45	Professional		$1,355.84	$1,959.55	$3,454.45