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 $1,022.33 / $1,500.18 / $2,910.59	Professional		$1,022.33	$1,500.18	$2,910.59
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 $1,622.93 / $2,780.22 / $9,661.58	Professional		$1,622.93	$2,780.22	$9,661.58
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 $1,352.85 / $2,349.06 / $3,432.79	Professional		$1,352.85	$2,349.06	$3,432.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,413.72 / $2,468.15 / $11,234.92	Facility		$1,413.72	$2,468.15	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,451.25 / $2,320.64 / $4,655.70	Professional		$1,451.25	$2,320.64	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $361.27 / $2,421.16	Professional		$75.97	$361.27	$2,421.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,540.71 / $2,115.19 / $2,267.12	Facility		$1,540.71	$2,115.19	$2,267.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.30 / $1,533.24 / $2,513.62	Facility		$1,510.30	$1,533.24	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.16 / $2,557.52 / $3,144.64	Professional		$1,615.16	$2,557.52	$3,144.64
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 $1,540.31 / $2,205.58 / $2,970.85	Professional		$1,540.31	$2,205.58	$2,970.85
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 $1,418.34 / $2,427.65 / $3,245.05	Professional		$1,418.34	$2,427.65	$3,245.05