Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.34 / $3,934.63 / $8,288.76	Facility		$1,200.34	$3,934.63	$8,288.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.02 / $1,187.72 / $1,225.61	Professional		$796.02	$1,187.72	$1,225.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.71 / $2,021.65 / $4,422.35	Facility		$1,326.71	$2,021.65	$4,422.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $3,114.62 / $9,476.48	Professional		$1,137.18	$3,114.62	$9,476.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.06 / $2,685.86 / $3,262.57	Facility		$1,314.06	$2,685.86	$3,262.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,137.18 / $1,263.53 / $3,158.82	Facility		$1,137.18	$1,263.53	$3,158.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $1,263.53 / $3,158.82	Professional		$1,137.18	$1,263.53	$3,158.82
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 $1,263.53 / $1,263.53 / $1,768.94	Facility		$1,263.53	$1,263.53	$1,768.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $2,198.54 / $3,790.59	Facility		$1,263.53	$2,198.54	$3,790.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $1,579.41 / $1,907.93	Professional		$1,137.18	$1,579.41	$1,907.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,326.71 / $2,021.65 / $3,474.71	Facility		$1,326.71	$2,021.65	$3,474.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,397.46 / $2,469.21 / $3,095.07	Professional		$1,397.46	$2,469.21	$3,095.07
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $530.67 / $1,415.15	Professional		$530.67	$530.67	$1,415.15