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 $948.74 / $1,368.82 / $2,741.95	Professional		$948.74	$1,368.82	$2,741.95
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 $1,496.48 / $2,570.51 / $8,916.15	Professional		$1,496.48	$2,570.51	$8,916.15
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 $1,282.72 / $2,157.94 / $3,147.96	Professional		$1,282.72	$2,157.94	$3,147.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,302.16 / $2,317.12 / $11,234.92	Facility		$1,302.16	$2,317.12	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,365.68 / $2,200.76 / $4,655.70	Professional		$1,365.68	$2,200.76	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.71 / $356.23 / $2,264.91	Professional		$73.71	$356.23	$2,264.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,494.01 / $1,989.24 / $2,084.88	Facility		$1,494.01	$1,989.24	$2,084.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.90 / $1,416.70 / $2,513.62	Facility		$1,388.90	$1,416.70	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.48 / $2,363.13 / $2,905.63	Professional		$1,496.48	$2,363.13	$2,905.63
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 $1,416.49 / $2,037.94 / $2,745.05	Professional		$1,416.49	$2,037.94	$2,745.05
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 $1,299.33 / $2,035.21 / $2,990.16	Professional		$1,299.33	$2,035.21	$2,990.16