Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.57 / $6,470.00 / $20,680.40	Facility		$1,479.57	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,479.57 / $2,800.40	Professional		$798.50	$1,479.57	$2,800.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.55 / $6,763.39 / $14,645.34	Facility		$1,338.55	$6,763.39	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.55 / $2,334.88 / $8,336.62	Professional		$1,338.55	$2,334.88	$8,336.62
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 $924.27 / $1,550.85 / $3,052.89	Professional		$924.27	$1,550.85	$3,052.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,055.35 / $1,299.76 / $2,515.90	Facility		$1,055.35	$1,299.76	$2,515.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.35 / $1,350.90 / $2,515.90	Professional		$1,055.35	$1,350.90	$2,515.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $534.74 / $1,929.78	Professional		$116.38	$534.74	$1,929.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.17 / $1,804.98 / $1,962.43	Facility		$1,276.17	$1,804.98	$1,962.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $1,303.28 / $1,338.55	Facility		$925.25	$1,303.28	$1,338.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,377.80 / $2,212.69 / $2,656.90	Professional		$1,377.80	$2,212.69	$2,656.90
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 $1,329.17 / $1,925.39 / $2,488.61	Professional		$1,329.17	$1,925.39	$2,488.61
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 $1,087.55 / $1,512.56 / $2,669.27	Professional		$1,087.55	$1,512.56	$2,669.27