Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,359.60 / $7,816.79 / $16,467.00	Facility		$2,359.60	$7,816.79	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.43 / $2,359.60 / $2,434.90	Professional		$1,581.43	$2,359.60	$2,434.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,635.72 / $4,016.34 / $10,370.68	Facility		$2,635.72	$4,016.34	$10,370.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.00 / $5,216.37 / $18,826.58	Professional		$2,475.00	$5,216.37	$18,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,610.62 / $5,335.95 / $6,481.69	Facility		$2,610.62	$5,335.95	$6,481.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,259.19 / $2,510.21 / $6,275.52	Facility		$2,259.19	$2,510.21	$6,275.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $2,510.21 / $6,275.52	Professional		$2,259.19	$2,510.21	$6,275.52
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 $2,259.19 / $2,761.23 / $4,392.87	Facility		$2,259.19	$2,761.23	$4,392.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $4,392.87 / $7,530.63	Facility		$2,510.21	$4,392.87	$7,530.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,137.76 / $3,790.42	Professional		$2,259.19	$3,137.76	$3,790.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,635.72 / $4,119.25 / $6,903.08	Facility		$2,635.72	$4,119.25	$6,903.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,776.29 / $4,885.24 / $5,836.73	Professional		$2,776.29	$4,885.24	$5,836.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,171.43 / $2,811.44	Professional		$1,054.29	$1,171.43	$2,811.44