Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.80 / $4,786.28 / $10,082.90	Facility		$1,444.80	$4,786.28	$10,082.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.91 / $1,444.80 / $1,490.91	Professional		$1,075.91	$1,444.80	$1,490.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.87 / $2,459.23 / $5,379.57	Facility		$1,613.87	$2,459.23	$5,379.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $3,194.96 / $11,527.65	Professional		$1,383.32	$3,194.96	$11,527.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,598.50 / $3,267.23 / $3,968.77	Facility		$1,598.50	$3,267.23	$3,968.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,383.32 / $1,537.02 / $3,842.55	Facility		$1,383.32	$1,537.02	$3,842.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,537.02 / $3,842.55	Professional		$1,383.32	$1,537.02	$3,842.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $2,151.83	Facility		$1,537.02	$1,537.02	$2,151.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $2,689.79 / $4,611.06	Facility		$1,537.02	$2,689.79	$4,611.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,921.28 / $2,320.90	Professional		$1,383.32	$1,921.28	$2,320.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,613.87 / $2,459.23 / $4,226.81	Facility		$1,613.87	$2,459.23	$4,226.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,699.94 / $2,836.81 / $3,764.88	Professional		$1,699.94	$2,836.81	$3,764.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.17 / $1,537.02 / $1,537.02	Facility		$1,460.17	$1,537.02	$1,537.02
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $645.54 / $1,721.46	Professional		$645.54	$645.54	$1,721.46