Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.08 / $6,470.00 / $20,680.40	Facility		$1,836.08	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,836.08 / $3,457.73	Professional		$976.48	$1,836.08	$3,457.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.22 / $10,956.90 / $24,231.69	Facility		$1,666.22	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.08 / $3,018.10 / $10,379.25	Professional		$1,715.08	$3,018.10	$10,379.25
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 $1,128.36 / $1,922.03 / $3,799.73	Professional		$1,128.36	$1,922.03	$3,799.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,370.20 / $1,917.74 / $3,438.45	Facility		$1,370.20	$1,917.74	$3,438.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,370.20 / $1,917.74 / $3,438.45	Professional		$1,370.20	$1,917.74	$3,438.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.70 / $699.47 / $2,381.90	Professional		$157.70	$699.47	$2,381.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,529.08 / $2,146.30 / $2,442.82	Facility		$1,529.08	$2,146.30	$2,442.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $1,624.01 / $1,666.22	Facility		$1,462.03	$1,624.01	$1,666.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.08 / $2,752.73 / $3,307.29	Professional		$1,715.08	$2,752.73	$3,307.29
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 $1,656.27 / $2,396.88 / $3,101.02	Professional		$1,656.27	$2,396.88	$3,101.02
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 $1,321.00 / $1,900.95 / $3,301.28	Professional		$1,321.00	$1,900.95	$3,301.28