Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,280.25 / $10,866.70 / $22,892.00	Facility		$3,280.25	$10,866.70	$22,892.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,442.73 / $3,280.25 / $3,384.94	Professional		$2,442.73	$3,280.25	$3,384.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,664.11 / $5,583.41 / $12,213.71	Facility		$3,664.11	$5,583.41	$12,213.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $7,254.24 / $26,172.23	Professional		$3,140.67	$7,254.24	$26,172.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,629.22 / $7,417.89 / $9,010.66	Facility		$3,629.22	$7,417.89	$9,010.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,140.67 / $3,489.63 / $8,724.08	Facility		$3,140.67	$3,489.63	$8,724.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $3,489.63 / $8,724.08	Professional		$3,140.67	$3,489.63	$8,724.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,140.67 / $3,838.59 / $6,106.85	Facility		$3,140.67	$3,838.59	$6,106.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,489.63 / $6,106.85 / $10,468.89	Facility		$3,489.63	$6,106.85	$10,468.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $4,362.04 / $5,269.34	Professional		$3,140.67	$4,362.04	$5,269.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,664.11 / $5,583.41 / $9,596.48	Facility		$3,664.11	$5,583.41	$9,596.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,859.53 / $6,440.37 / $8,547.34	Professional		$3,859.53	$6,440.37	$8,547.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,465.64 / $3,838.59	Professional		$1,465.64	$1,465.64	$3,838.59