Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.38 / $6,470.00 / $20,680.40	Facility		$1,591.38	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,591.38 / $2,973.54	Professional		$863.39	$1,591.38	$2,973.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.86 / $2,622.19 / $9,016.04	Professional		$1,457.86	$2,622.19	$9,016.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.97 / $1,663.57 / $3,305.82	Professional		$975.97	$1,663.57	$3,305.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,182.80 / $1,863.78 / $3,376.68	Facility		$1,182.80	$1,863.78	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.80 / $1,863.78 / $3,296.60	Professional		$1,182.80	$1,863.78	$3,296.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $641.96 / $2,073.17	Professional		$116.54	$641.96	$2,073.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,353.38 / $1,921.56 / $2,120.55	Facility		$1,353.38	$1,921.56	$2,120.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,410.19 / $1,410.19 / $1,446.41	Facility		$1,410.19	$1,410.19	$1,446.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,488.82 / $2,389.58 / $2,870.97	Professional		$1,488.82	$2,389.58	$2,870.97
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 $1,438.21 / $2,082.96 / $2,692.75	Professional		$1,438.21	$2,082.96	$2,692.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,613.00 / $2,937.00 / $11,941.00	Facility		$1,613.00	$2,937.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.92 / $1,575.11 / $2,839.32	Professional		$1,143.92	$1,575.11	$2,839.32