Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $7,920.26 / $27,982.24	Facility		$1,560.00	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.16 / $1,451.05 / $2,955.31	Professional		$996.16	$1,451.05	$2,955.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,629.00 / $31,158.23 / $59,636.26	Facility		$13,629.00	$31,158.23	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.24 / $2,533.01 / $9,420.23	Professional		$1,500.24	$2,533.01	$9,420.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.89 / $2,184.44 / $3,205.38	Professional		$1,433.89	$2,184.44	$3,205.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,327.09 / $2,403.29 / $37,088.49	Facility		$1,327.09	$2,403.29	$37,088.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.09 / $2,313.98 / $2,864.68	Professional		$1,327.09	$2,313.98	$2,864.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $303.70 / $2,309.37	Professional		$79.43	$303.70	$2,309.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,553.14 / $2,053.79 / $2,176.00	Facility		$1,553.14	$2,053.79	$2,176.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.60 / $1,449.60 / $1,470.17	Facility		$1,449.60	$1,449.60	$1,470.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.28 / $2,429.55 / $2,918.14	Professional		$1,513.28	$2,429.55	$2,918.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,216.27 / $31,176.05 / $59,636.26	Facility		$20,216.27	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,114.09 / $2,848.65	Professional		$1,478.40	$2,114.09	$2,848.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.24 / $1,950.53 / $3,160.16	Professional		$1,384.24	$1,950.53	$3,160.16