Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.77 / $3,942.54 / $8,305.42	Facility		$1,202.77	$3,942.54	$8,305.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.63 / $1,190.10 / $1,427.00	Professional		$759.63	$1,190.10	$1,427.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.37 / $2,025.71 / $4,431.25	Facility		$1,329.37	$2,025.71	$4,431.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $3,120.36 / $9,495.53	Professional		$1,266.07	$3,120.36	$9,495.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.72 / $2,057.38 / $3,269.17	Facility		$1,316.72	$2,057.38	$3,269.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,139.46 / $1,266.07 / $3,165.18	Facility		$1,139.46	$1,266.07	$3,165.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.46 / $1,266.07 / $3,165.18	Professional		$1,139.46	$1,266.07	$3,165.18
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 $1,266.07 / $1,266.07 / $1,772.50	Facility		$1,266.07	$1,266.07	$1,772.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,266.07 / $2,202.96 / $3,798.21	Facility		$1,266.07	$2,202.96	$3,798.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.46 / $1,582.59 / $1,911.77	Professional		$1,139.46	$1,582.59	$1,911.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,329.37 / $2,025.71 / $3,481.69	Facility		$1,329.37	$2,025.71	$3,481.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,400.27 / $2,473.78 / $3,100.88	Professional		$1,400.27	$2,473.78	$3,100.88
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $531.75 / $1,418.00	Professional		$531.75	$531.75	$1,418.00