Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.29 / $1,714.04 / $3,259.05	Professional		$1,144.29	$1,714.04	$3,259.05
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 $1,780.93 / $3,146.67 / $10,920.23	Professional		$1,780.93	$3,146.67	$10,920.23
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 $1,500.71 / $2,668.79 / $3,911.31	Professional		$1,500.71	$2,668.79	$3,911.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,606.50 / $2,723.48 / $11,234.92	Facility		$1,606.50	$2,723.48	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,615.08 / $2,573.71 / $4,655.70	Professional		$1,615.08	$2,573.71	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $441.44 / $2,784.67	Professional		$112.66	$441.44	$2,784.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,708.35 / $2,349.02 / $2,539.12	Facility		$1,708.35	$2,349.02	$2,539.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,715.06 / $1,730.20 / $2,513.62	Facility		$1,715.06	$1,730.20	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.41 / $2,894.46 / $3,548.62	Professional		$1,794.41	$2,894.46	$3,548.62
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 $1,749.13 / $2,488.91 / $3,352.50	Professional		$1,749.13	$2,488.91	$3,352.50
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 $1,542.64 / $2,682.21 / $3,672.77	Professional		$1,542.64	$2,682.21	$3,672.77