Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.44 / $6,845.66 / $14,421.20	Facility		$2,066.44	$6,845.66	$14,421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.85 / $2,066.44 / $2,132.40	Professional		$1,538.85	$2,066.44	$2,132.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,308.27 / $3,517.36 / $7,694.22	Facility		$2,308.27	$3,517.36	$7,694.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $4,569.97 / $16,487.63	Professional		$1,978.52	$4,569.97	$16,487.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,286.29 / $4,673.03 / $5,676.42	Facility		$2,286.29	$4,673.03	$5,676.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,978.52 / $2,198.35 / $5,495.88	Facility		$1,978.52	$2,198.35	$5,495.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $2,198.35 / $5,495.88	Professional		$1,978.52	$2,198.35	$5,495.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $3,077.69	Facility		$2,198.35	$2,198.35	$3,077.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $3,847.11 / $6,595.05	Facility		$2,198.35	$3,847.11	$6,595.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $2,747.94 / $3,319.51	Professional		$1,978.52	$2,747.94	$3,319.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,308.27 / $3,517.36 / $6,045.46	Facility		$2,308.27	$3,517.36	$6,045.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,431.38 / $4,056.97 / $5,384.21	Professional		$2,431.38	$4,056.97	$5,384.21
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $923.31 / $2,462.15	Professional		$923.31	$923.31	$2,462.15