Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.90 / $4,754.20 / $8,553.91	Facility		$1,050.90	$4,754.20	$8,553.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $1,050.90 / $1,303.95	Professional		$1,050.90	$1,050.90	$1,303.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $2,086.32 / $4,618.82	Facility		$1,369.15	$2,086.32	$4,618.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $2,666.32 / $9,779.62	Professional		$1,173.56	$2,666.32	$9,779.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,356.11 / $2,771.81 / $3,366.97	Facility		$1,356.11	$2,771.81	$3,366.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,173.56 / $1,303.95 / $3,259.88	Facility		$1,173.56	$1,303.95	$3,259.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,303.95 / $3,259.88	Professional		$1,173.56	$1,303.95	$3,259.88
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 $1,173.56 / $1,434.35 / $2,281.91	Facility		$1,173.56	$1,434.35	$2,281.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $2,281.91 / $3,911.85	Facility		$1,303.95	$2,281.91	$3,911.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,629.94 / $2,412.31	Professional		$1,173.56	$1,629.94	$2,412.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $2,086.32 / $3,585.86	Facility		$1,369.15	$2,086.32	$3,585.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,442.17 / $2,323.21 / $3,031.76	Professional		$1,442.17	$2,323.21	$3,031.76
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $1,460.42	Professional		$469.55	$469.55	$1,460.42