Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.92 / $4,730.35 / $9,965.03	Facility		$1,427.92	$4,730.35	$9,965.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.01 / $1,427.92 / $1,473.49	Professional		$957.01	$1,427.92	$1,473.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,595.01 / $2,430.50 / $5,316.71	Facility		$1,595.01	$2,430.50	$5,316.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $3,157.60 / $11,392.95	Professional		$1,367.15	$3,157.60	$11,392.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.82 / $3,229.06 / $3,922.41	Facility		$1,579.82	$3,229.06	$3,922.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,367.15 / $1,519.06 / $3,797.65	Facility		$1,367.15	$1,519.06	$3,797.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,519.06 / $3,797.65	Professional		$1,367.15	$1,519.06	$3,797.65
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 $1,519.06 / $1,519.06 / $2,126.67	Facility		$1,519.06	$1,519.06	$2,126.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $2,658.36 / $4,557.18	Facility		$1,519.06	$2,658.36	$4,557.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,898.82 / $2,293.78	Professional		$1,367.15	$1,898.82	$2,293.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,595.01 / $2,430.50 / $4,177.42	Facility		$1,595.01	$2,430.50	$4,177.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,680.08 / $2,803.67 / $3,720.89	Professional		$1,680.08	$2,803.67	$3,720.89
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $1,701.35	Professional		$638.01	$638.01	$1,701.35