Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,640.62 / $12,060.50 / $25,406.90	Facility		$3,640.62	$12,060.50	$25,406.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,439.98 / $3,640.62 / $3,756.81	Professional		$2,439.98	$3,640.62	$3,756.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $16,000.91	Facility		$4,066.65	$6,196.80	$16,000.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $7,934.01 / $29,047.50	Professional		$3,485.70	$7,934.01	$29,047.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,027.92 / $8,232.82 / $10,000.57	Facility		$4,027.92	$8,232.82	$10,000.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,485.70 / $3,873.00 / $9,682.50	Facility		$3,485.70	$3,873.00	$9,682.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $3,873.00 / $9,682.50	Professional		$3,485.70	$3,873.00	$9,682.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,485.70 / $4,260.30 / $6,777.75	Facility		$3,485.70	$4,260.30	$6,777.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $6,777.75 / $11,619.00	Facility		$3,873.00	$6,777.75	$11,619.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,841.25 / $5,848.23	Professional		$3,485.70	$4,841.25	$5,848.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $10,650.75	Facility		$4,066.65	$6,196.80	$10,650.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,283.54 / $7,537.31 / $9,005.49	Professional		$4,283.54	$7,537.31	$9,005.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $4,337.76	Professional		$1,626.66	$1,626.66	$4,337.76