Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.07 / $5,128.00 / $24,827.00	Facility		$1,682.07	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.98 / $1,239.83 / $2,467.13	Professional		$847.98	$1,239.83	$2,467.13
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 $1,341.98 / $2,189.02 / $10,284.73	Professional		$1,341.98	$2,189.02	$10,284.73
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 $1,148.74 / $1,938.68 / $2,832.48	Professional		$1,148.74	$1,938.68	$2,832.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,170.14 / $2,085.16 / $11,234.92	Facility		$1,170.14	$2,085.16	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.22 / $1,970.62 / $4,655.70	Professional		$1,227.22	$1,970.62	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $348.57 / $2,007.53	Professional		$74.23	$348.57	$2,007.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,359.26 / $1,784.22 / $1,874.08	Facility		$1,359.26	$1,784.22	$1,874.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.47 / $1,269.08 / $2,513.62	Facility		$1,248.47	$1,269.08	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.73 / $2,116.91 / $2,602.88	Professional		$1,343.73	$2,116.91	$2,602.88
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 $1,273.27 / $1,825.60 / $2,459.03	Professional		$1,273.27	$1,825.60	$2,459.03
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 $1,164.24 / $1,959.49 / $2,657.90	Professional		$1,164.24	$1,959.49	$2,657.90