Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.31 / $5,128.00 / $24,827.00	Facility		$2,123.31	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.52 / $2,123.31 / $4,023.40	Professional		$1,435.52	$2,123.31	$4,023.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.59 / $3,915.94 / $13,533.90	Professional		$2,207.59	$3,915.94	$13,533.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.45 / $3,308.94 / $4,852.03	Professional		$1,860.45	$3,308.94	$4,852.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,991.64 / $3,386.08 / $11,234.92	Facility		$1,991.64	$3,386.08	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,999.07 / $3,190.88 / $4,978.12	Professional		$1,999.07	$3,190.88	$4,978.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $533.71 / $3,386.37	Professional		$111.35	$533.71	$3,386.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,109.51 / $2,912.49 / $3,147.72	Facility		$2,109.51	$2,912.49	$3,147.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,128.19 / $2,144.69 / $2,513.62	Facility		$2,128.19	$2,144.69	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,221.27 / $3,589.93 / $4,398.75	Professional		$2,221.27	$3,589.93	$4,398.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,170.48 / $3,085.18 / $4,155.64	Professional		$2,170.48	$3,085.18	$4,155.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,912.68 / $3,033.92 / $4,555.24	Professional		$1,912.68	$3,033.92	$4,555.24