Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.92 / $4,160.58 / $8,764.75	Facility		$1,255.92	$4,160.58	$8,764.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.74 / $1,255.92 / $1,296.01	Professional		$841.74	$1,255.92	$1,296.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,402.89 / $2,137.73 / $4,676.32	Facility		$1,402.89	$2,137.73	$4,676.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $2,777.69 / $10,020.68	Professional		$1,202.48	$2,777.69	$10,020.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.54 / $2,840.12 / $3,449.96	Facility		$1,389.54	$2,840.12	$3,449.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.48 / $1,336.09 / $3,340.22	Facility		$1,202.48	$1,336.09	$3,340.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,336.09 / $3,340.22	Professional		$1,202.48	$1,336.09	$3,340.22
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 $1,336.09 / $1,336.09 / $1,870.53	Facility		$1,336.09	$1,336.09	$1,870.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $2,338.16 / $4,008.27	Facility		$1,336.09	$2,338.16	$4,008.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,670.11 / $2,017.50	Professional		$1,202.48	$1,670.11	$2,017.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,402.89 / $2,137.73 / $3,674.25	Facility		$1,402.89	$2,137.73	$3,674.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.72 / $2,465.94 / $3,272.69	Professional		$1,477.72	$2,465.94	$3,272.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,603.31 / $1,603.31	Facility		$1,336.09	$1,603.31	$1,603.31
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $561.16 / $1,603.31	Professional		$561.16	$561.16	$1,603.31