Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.85 / $5,116.62 / $18,800.00	Facility		$1,570.85	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.89 / $1,137.53 / $2,187.64	Professional		$765.89	$1,137.53	$2,187.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.33 / $2,087.03 / $7,265.10	Professional		$1,193.33	$2,087.03	$7,265.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.33 / $1,767.59 / $2,584.30	Professional		$1,011.33	$1,767.59	$2,584.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,063.85 / $1,813.18 / $8,266.54	Facility		$1,063.85	$1,813.18	$8,266.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.77 / $1,734.56 / $2,652.18	Professional		$1,091.77	$1,734.56	$2,652.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $275.08 / $1,816.94	Professional		$73.71	$275.08	$1,816.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.20 / $1,578.52 / $1,703.40	Facility		$1,150.20	$1,578.52	$1,703.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.77 / $1,140.42 / $1,151.64	Facility		$1,134.77	$1,140.42	$1,151.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.64 / $1,921.00 / $2,362.00	Professional		$1,213.64	$1,921.00	$2,362.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,157.31 / $1,656.65 / $2,231.46	Professional		$1,157.31	$1,656.65	$2,231.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.64 / $1,651.16 / $2,559.57	Professional		$1,036.64	$1,651.16	$2,559.57