Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.76 / $13,633.00 / $29,469.37	Facility		$1,687.76	$13,633.00	$29,469.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $1,218.05 / $2,500.17	Professional		$759.86	$1,218.05	$2,500.17
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 $1,292.99 / $2,236.85 / $7,756.50	Professional		$1,292.99	$2,236.85	$7,756.50
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 $1,076.33 / $1,888.83 / $2,757.41	Professional		$1,076.33	$1,888.83	$2,757.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,136.94 / $1,927.46 / $11,234.92	Facility		$1,136.94	$1,927.46	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.58 / $1,846.30 / $4,655.70	Professional		$1,163.58	$1,846.30	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $280.66 / $1,931.51	Professional		$73.20	$280.66	$1,931.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,241.75 / $1,681.03 / $1,814.92	Facility		$1,241.75	$1,681.03	$1,814.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.96 / $1,228.86 / $2,513.62	Facility		$1,209.96	$1,228.86	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.99 / $2,050.63 / $2,520.40	Professional		$1,292.99	$2,050.63	$2,520.40
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 $1,234.00 / $1,767.75 / $2,381.11	Professional		$1,234.00	$1,767.75	$2,381.11
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 $1,103.96 / $1,946.60 / $2,560.25	Professional		$1,103.96	$1,946.60	$2,560.25