Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,547.35 / $8,438.78 / $17,777.30	Facility		$2,547.35	$8,438.78	$17,777.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $2,547.35 / $2,628.65	Professional		$1,896.97	$2,547.35	$2,628.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.45 / $4,335.92 / $9,484.82	Facility		$2,845.45	$4,335.92	$9,484.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $5,551.40 / $20,324.63	Professional		$2,438.96	$5,551.40	$20,324.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.35 / $5,760.54 / $6,997.44	Facility		$2,818.35	$5,760.54	$6,997.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,438.96 / $2,709.95 / $6,774.88	Facility		$2,438.96	$2,709.95	$6,774.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $2,709.95 / $6,774.88	Professional		$2,438.96	$2,709.95	$6,774.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $3,793.93	Facility		$2,709.95	$2,709.95	$3,793.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $4,742.41 / $8,129.85	Facility		$2,709.95	$4,742.41	$8,129.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $3,387.44 / $4,092.02	Professional		$2,438.96	$3,387.44	$4,092.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,845.45 / $4,335.92 / $7,452.36	Facility		$2,845.45	$4,335.92	$7,452.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,997.20 / $5,001.32 / $6,637.51	Professional		$2,997.20	$5,001.32	$6,637.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $3,035.14	Professional		$1,138.18	$1,138.18	$3,035.14