Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.59 / $10,122.46 / $27,982.24	Facility		$1,934.59	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.27 / $1,934.59 / $3,164.60	Professional		$1,821.27	$1,934.59	$3,164.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,044.98 / $16,947.71	Facility		$5,363.09	$9,044.98	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,288.33 / $4,037.36 / $13,748.33	Professional		$2,288.33	$4,037.36	$13,748.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,229.34 / $2,229.34 / $2,229.34	Professional		$2,229.34	$2,229.34	$2,229.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,679.56 / $8,374.87 / $19,082.05	Facility		$2,679.56	$8,374.87	$19,082.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,819.64 / $4,819.64 / $4,819.64	Professional		$4,819.64	$4,819.64	$4,819.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.34 / $2,202.39 / $3,041.32	Facility		$1,365.34	$2,202.39	$3,041.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.11 / $2,500.11 / $2,523.10	Facility		$2,500.11	$2,500.11	$2,523.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,638.08 / $4,208.66 / $5,174.83	Professional		$2,638.08	$4,208.66	$5,174.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,767.47 / $8,859.76 / $16,947.71	Facility		$6,767.47	$8,859.76	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,919.70 / $2,549.78 / $3,684.60	Professional		$1,919.70	$2,549.78	$3,684.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,318.40 / $3,892.15 / $5,382.01	Professional		$2,318.40	$3,892.15	$5,382.01