Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.54 / $5,128.00 / $24,827.00	Facility		$1,985.54	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.91 / $1,985.54 / $4,088.36	Professional		$1,382.91	$1,985.54	$4,088.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,396.45 / $9,543.20 / $23,606.56	Facility		$5,396.45	$9,543.20	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,177.04 / $3,737.29 / $12,982.13	Professional		$2,177.04	$3,737.29	$12,982.13
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 $1,872.09 / $3,142.25 / $4,580.85	Professional		$1,872.09	$3,142.25	$4,580.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,841.89 / $3,051.02 / $8,266.54	Facility		$1,841.89	$3,051.02	$8,266.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,841.89 / $3,051.02 / $3,973.81	Professional		$1,841.89	$3,051.02	$3,973.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $531.83 / $3,276.19	Professional		$112.20	$531.83	$3,276.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,203.98 / $2,904.93 / $3,047.83	Facility		$2,203.98	$2,904.93	$3,047.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $2,027.18 / $2,064.27	Facility		$1,140.42	$2,027.18	$2,064.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,181.73 / $3,443.31 / $4,233.78	Professional		$2,181.73	$3,443.31	$4,233.78
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 $2,067.44 / $2,969.47 / $3,999.80	Professional		$2,067.44	$2,969.47	$3,999.80
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 $1,902.56 / $3,026.80 / $4,343.45	Professional		$1,902.56	$3,026.80	$4,343.45