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 $936.81 / $1,378.30 / $2,736.17	Professional		$936.81	$1,378.30	$2,736.17
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 $1,487.82 / $2,553.08 / $8,837.40	Professional		$1,487.82	$2,553.08	$8,837.40
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 $1,272.20 / $2,147.67 / $3,137.15	Professional		$1,272.20	$2,147.67	$3,137.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,300.10 / $2,297.92 / $11,234.92	Facility		$1,300.10	$2,297.92	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,363.53 / $2,182.26 / $4,655.70	Professional		$1,363.53	$2,182.26	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $354.81 / $2,244.37	Professional		$74.23	$354.81	$2,244.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,525.37 / $1,974.17 / $2,074.00	Facility		$1,525.37	$1,974.17	$2,074.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,381.65 / $1,402.99 / $2,513.62	Facility		$1,381.65	$1,402.99	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.25 / $2,340.53 / $2,877.51	Professional		$1,492.25	$2,340.53	$2,877.51
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 $1,409.10 / $2,018.22 / $2,718.48	Professional		$1,409.10	$2,018.22	$2,718.48
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 $1,254.99 / $2,013.16 / $2,969.88	Professional		$1,254.99	$2,013.16	$2,969.88