Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.46 / $5,128.00 / $24,827.00	Facility		$1,747.46	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.48 / $1,747.46 / $3,344.33	Professional		$1,176.48	$1,747.46	$3,344.33
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 $1,832.65 / $3,213.67 / $11,149.05	Professional		$1,832.65	$3,213.67	$11,149.05
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 $1,534.54 / $2,724.59 / $3,992.84	Professional		$1,534.54	$2,724.59	$3,992.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,640.10 / $2,800.24 / $11,234.92	Facility		$1,640.10	$2,800.24	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.48 / $2,631.44 / $4,655.70	Professional		$1,649.48	$2,631.44	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $441.44 / $2,794.92	Professional		$112.66	$441.44	$2,794.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,754.86 / $2,400.61 / $2,593.52	Facility		$1,754.86	$2,400.61	$2,593.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.30 / $1,766.76 / $2,513.62	Facility		$1,751.30	$1,766.76	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,832.65 / $2,956.10 / $3,623.60	Professional		$1,832.65	$2,956.10	$3,623.60
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 $1,786.09 / $2,541.51 / $3,423.34	Professional		$1,786.09	$2,541.51	$3,423.34
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 $1,576.52 / $2,739.32 / $3,750.98	Professional		$1,576.52	$2,739.32	$3,750.98