Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $6,470.00 / $21,917.86	Facility		$1,223.35	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $1,223.35 / $2,302.73	Professional		$667.32	$1,223.35	$2,302.73
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 $1,117.26 / $1,884.57 / $7,512.52	Professional		$1,117.26	$1,884.57	$7,512.52
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 $756.67 / $1,280.04 / $2,533.64	Professional		$756.67	$1,280.04	$2,533.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $921.79 / $1,751.15 / $3,376.68	Facility		$921.79	$1,751.15	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.79 / $1,707.37 / $2,787.60	Professional		$921.79	$1,707.37	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $473.95 / $1,591.52	Professional		$78.89	$473.95	$1,591.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,043.60 / $1,488.07 / $1,626.09	Facility		$1,043.60	$1,488.07	$1,626.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.95 / $1,079.95 / $1,109.14	Facility		$1,079.95	$1,079.95	$1,109.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,141.66 / $1,832.39 / $2,201.53	Professional		$1,141.66	$1,832.39	$2,201.53
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 $1,101.41 / $1,596.32 / $2,101.78	Professional		$1,101.41	$1,596.32	$2,101.78
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 $888.40 / $1,221.55 / $2,198.11	Professional		$888.40	$1,221.55	$2,198.11