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 $1,000.26 / $1,471.11 / $2,860.02	Professional		$1,000.26	$1,471.11	$2,860.02
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 $1,554.76 / $2,730.70 / $9,461.54	Professional		$1,554.76	$2,730.70	$9,461.54
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 $1,323.26 / $2,299.98 / $3,361.42	Professional		$1,323.26	$2,299.98	$3,361.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,384.32 / $2,392.21 / $11,234.92	Facility		$1,384.32	$2,392.21	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,421.15 / $2,269.58 / $4,655.70	Professional		$1,421.15	$2,269.58	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $356.53 / $2,381.43	Professional		$73.71	$356.53	$2,381.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,541.05 / $2,069.63 / $2,219.52	Facility		$1,541.05	$2,069.63	$2,219.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.59 / $1,501.25 / $2,513.62	Facility		$1,478.59	$1,501.25	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,581.22 / $2,504.16 / $3,079.03	Professional		$1,581.22	$2,504.16	$3,079.03
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 $1,507.97 / $2,159.56 / $2,908.87	Professional		$1,507.97	$2,159.56	$2,908.87
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 $1,359.17 / $2,162.44 / $3,176.50	Professional		$1,359.17	$2,162.44	$3,176.50