Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.62 / $6,051.16 / $12,747.50	Facility		$1,826.62	$6,051.16	$12,747.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.25 / $1,826.62 / $1,884.91	Professional		$1,360.25	$1,826.62	$1,884.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,040.37 / $3,109.14 / $6,801.24	Facility		$2,040.37	$3,109.14	$6,801.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $4,039.90 / $14,574.08	Professional		$1,748.89	$4,039.90	$14,574.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,020.94 / $3,570.00 / $5,017.63	Facility		$2,020.94	$3,570.00	$5,017.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,748.89 / $1,943.21 / $4,858.02	Facility		$1,748.89	$1,943.21	$4,858.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $1,943.21 / $4,858.02	Professional		$1,748.89	$1,943.21	$4,858.02
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 $1,943.21 / $1,943.21 / $2,720.49	Facility		$1,943.21	$1,943.21	$2,720.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $3,400.62 / $5,829.63	Facility		$1,943.21	$3,400.62	$5,829.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $2,429.01 / $2,934.25	Professional		$1,748.89	$2,429.01	$2,934.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,040.37 / $3,109.14 / $5,343.83	Facility		$2,040.37	$3,109.14	$5,343.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,149.19 / $3,586.04 / $4,759.22	Professional		$2,149.19	$3,586.04	$4,759.22
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $816.15 / $2,331.85	Professional		$816.15	$816.15	$2,331.85