Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,588.06 / $8,573.62 / $18,061.30	Facility		$2,588.06	$8,573.62	$18,061.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $2,588.06 / $2,588.06	Professional		$455.43	$2,588.06	$2,588.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,890.91 / $4,405.20 / $9,636.37	Facility		$2,890.91	$4,405.20	$9,636.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.92 / $5,721.76 / $20,649.38	Professional		$2,477.92	$5,721.76	$20,649.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,863.38 / $5,852.56 / $7,109.23	Facility		$2,863.38	$5,852.56	$7,109.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,477.92 / $2,753.25 / $6,883.12	Facility		$2,477.92	$2,753.25	$6,883.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,477.92 / $2,753.25 / $6,883.12	Professional		$2,477.92	$2,753.25	$6,883.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,477.92 / $3,028.58 / $4,818.18	Facility		$2,477.92	$3,028.58	$4,818.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $4,818.18 / $8,259.75	Facility		$2,753.25	$4,818.18	$8,259.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,477.92 / $3,441.56 / $4,157.41	Professional		$2,477.92	$3,441.56	$4,157.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,890.91 / $4,405.20 / $7,571.44	Facility		$2,890.91	$4,405.20	$7,571.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,045.09 / $5,358.01 / $6,401.75	Professional		$3,045.09	$5,358.01	$6,401.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,156.36 / $3,083.64	Professional		$1,156.36	$1,156.36	$3,083.64