Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,040.00 / $9,964.79 / $20,992.00	Facility		$3,040.00	$9,964.79	$20,992.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $3,008.00 / $3,104.00	Professional		$2,016.00	$3,008.00	$3,104.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $5,120.00 / $11,200.00	Facility		$3,360.00	$5,120.00	$11,200.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $7,887.47 / $24,000.00	Professional		$2,880.00	$7,887.47	$24,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,328.00 / $6,802.22 / $8,262.79	Facility		$3,328.00	$6,802.22	$8,262.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $3,200.00 / $8,000.00	Facility		$2,880.00	$3,200.00	$8,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,200.00 / $8,000.00	Professional		$2,880.00	$3,200.00	$8,000.00
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 $3,200.00 / $3,200.00 / $4,480.00	Facility		$3,200.00	$3,200.00	$4,480.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $5,568.00 / $9,600.00	Facility		$3,200.00	$5,568.00	$9,600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $4,000.00 / $4,832.00	Professional		$2,880.00	$4,000.00	$4,832.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $5,120.00 / $8,800.00	Facility		$3,360.00	$5,120.00	$8,800.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,539.20 / $6,253.07 / $7,837.69	Professional		$3,539.20	$6,253.07	$7,837.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,344.00 / $3,584.00	Professional		$1,344.00	$1,344.00	$3,584.00