Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.66 / $5,128.00 / $24,827.00	Facility		$1,726.66	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.22 / $1,245.13 / $2,407.38	Professional		$844.22	$1,245.13	$2,407.38
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 $1,336.49 / $2,307.69 / $7,986.00	Professional		$1,336.49	$2,307.69	$7,986.00
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 $1,116.34 / $1,942.91 / $2,839.03	Professional		$1,116.34	$1,942.91	$2,839.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,169.28 / $2,021.75 / $11,234.92	Facility		$1,169.28	$2,021.75	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.42 / $1,915.12 / $4,655.70	Professional		$1,201.42	$1,915.12	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $348.57 / $2,037.70	Professional		$74.23	$348.57	$2,037.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.64 / $1,743.34 / $1,873.40	Facility		$1,340.64	$1,743.34	$1,873.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.02 / $1,266.80 / $2,513.62	Facility		$1,248.02	$1,266.80	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.49 / $2,113.10 / $2,598.19	Professional		$1,336.49	$2,113.10	$2,598.19
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 $1,272.81 / $1,822.31 / $2,454.61	Professional		$1,272.81	$1,822.31	$2,454.61
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 $1,144.88 / $1,958.07 / $2,681.20	Professional		$1,144.88	$1,958.07	$2,681.20