Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.05 / $4,064.92 / $8,563.23	Facility		$1,227.05	$4,064.92	$8,563.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.76 / $1,227.05 / $1,266.21	Professional		$913.76	$1,227.05	$1,266.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $2,088.59 / $6,200.51	Facility		$1,370.64	$2,088.59	$6,200.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $2,673.97 / $9,790.28	Professional		$1,174.83	$2,673.97	$9,790.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.58 / $2,774.82 / $3,370.63	Facility		$1,357.58	$2,774.82	$3,370.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.83 / $1,305.36 / $2,219.13	Facility		$1,174.83	$1,305.36	$2,219.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,305.36 / $3,263.42	Professional		$1,174.83	$1,305.36	$3,263.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.83 / $1,435.91 / $2,284.40	Facility		$1,174.83	$1,435.91	$2,284.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $2,284.40 / $4,046.65	Facility		$1,305.36	$2,284.40	$4,046.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,631.71 / $1,971.11	Professional		$1,174.83	$1,631.71	$1,971.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $2,088.59 / $3,589.77	Facility		$1,370.64	$2,088.59	$3,589.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,443.74 / $2,409.04 / $3,197.16	Professional		$1,443.74	$2,409.04	$3,197.16
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $1,462.01	Professional		$548.26	$548.26	$1,462.01