Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.73 / $2,769.52 / $18,711.00	Facility		$1,574.73	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $1,141.71 / $2,235.29	Professional		$733.97	$1,141.71	$2,235.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,396.45 / $9,124.02 / $17,453.22	Facility		$5,396.45	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.15 / $2,104.05 / $7,289.55	Professional		$1,224.15	$2,104.05	$7,289.55
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 $1,048.64 / $1,771.97 / $2,586.94	Professional		$1,048.64	$1,771.97	$2,586.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,075.83 / $1,892.55 / $8,266.54	Facility		$1,075.83	$1,892.55	$8,266.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.32 / $1,798.94 / $2,645.62	Professional		$1,128.32	$1,798.94	$2,645.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $276.14 / $1,817.19	Professional		$73.20	$276.14	$1,817.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.58 / $1,625.71 / $1,709.52	Facility		$1,202.58	$1,625.71	$1,709.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.94 / $1,140.42 / $1,156.67	Facility		$1,137.94	$1,140.42	$1,156.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.22 / $1,929.38 / $2,372.31	Professional		$1,234.22	$1,929.38	$2,372.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,160.54 / $1,663.88 / $2,241.19	Professional		$1,160.54	$1,663.88	$2,241.19
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 $1,056.88 / $1,658.65 / $2,447.54	Professional		$1,056.88	$1,658.65	$2,447.54