Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,132.94 / $5,128.00 / $24,827.00	Facility		$2,132.94	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.23 / $2,132.94 / $4,085.87	Professional		$1,456.23	$2,132.94	$4,085.87
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 $2,259.96 / $3,976.53 / $13,734.08	Professional		$2,259.96	$3,976.53	$13,734.08
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 $1,910.40 / $3,350.29 / $4,907.32	Professional		$1,910.40	$3,350.29	$4,907.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $3,463.22 / $11,234.92	Facility		$2,016.42	$3,463.22	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,039.49 / $3,276.72 / $5,005.31	Professional		$2,039.49	$3,276.72	$5,005.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $534.38 / $3,457.19	Professional		$111.30	$534.38	$3,457.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,219.61 / $2,986.86 / $3,218.44	Facility		$2,219.61	$2,986.86	$3,218.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,158.09 / $2,179.42 / $2,513.62	Facility		$2,158.09	$2,179.42	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,269.54 / $3,645.47 / $4,469.97	Professional		$2,269.54	$3,645.47	$4,469.97
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 $2,200.96 / $3,135.14 / $4,222.95	Professional		$2,200.96	$3,135.14	$4,222.95
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 $1,964.16 / $3,134.76 / $4,625.72	Professional		$1,964.16	$3,134.76	$4,625.72