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 / $27,982.24	Facility		$1,733.00	$5,128.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.89 / $1,327.71 / $2,666.88	Professional		$911.89	$1,327.71	$2,666.88
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 $1,449.62 / $2,478.38 / $8,586.90	Professional		$1,449.62	$2,478.38	$8,586.90
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 $1,237.48 / $2,081.69 / $3,040.33	Professional		$1,237.48	$2,081.69	$3,040.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,259.10 / $2,252.88 / $11,234.92	Facility		$1,259.10	$2,252.88	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.53 / $2,123.06 / $4,655.70	Professional		$1,320.53	$2,123.06	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $353.18 / $2,182.45	Professional		$75.97	$353.18	$2,182.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,467.50 / $1,919.15 / $2,015.68	Facility		$1,467.50	$1,919.15	$2,015.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.88 / $1,364.15 / $2,513.62	Facility		$1,340.88	$1,364.15	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,446.66 / $2,275.46 / $2,797.84	Professional		$1,446.66	$2,275.46	$2,797.84
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 $1,367.52 / $1,962.34 / $2,643.22	Professional		$1,367.52	$1,962.34	$2,643.22
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 $1,261.91 / $2,156.78 / $3,029.30	Professional		$1,261.91	$2,156.78	$3,029.30