Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,202.01 / $17,051.59 / $35,921.19	Facility		$5,202.01	$17,051.59	$35,921.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,449.75 / $5,147.25 / $5,311.53	Professional		$3,449.75	$5,147.25	$5,311.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,749.59 / $8,761.28 / $19,165.30	Facility		$5,749.59	$8,761.28	$19,165.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $13,497.23 / $41,068.50	Professional		$4,928.22	$13,497.23	$41,068.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,694.83 / $11,639.88 / $14,139.20	Facility		$5,694.83	$11,639.88	$14,139.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,928.22 / $5,475.80 / $13,689.50	Facility		$4,928.22	$5,475.80	$13,689.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $5,475.80 / $13,689.50	Professional		$4,928.22	$5,475.80	$13,689.50
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 $5,475.80 / $5,475.80 / $7,666.12	Facility		$5,475.80	$5,475.80	$7,666.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,475.80 / $9,527.89 / $16,427.40	Facility		$5,475.80	$9,527.89	$16,427.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $6,844.75 / $8,268.45	Professional		$4,928.22	$6,844.75	$8,268.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,749.59 / $8,761.28 / $15,058.45	Facility		$5,749.59	$8,761.28	$15,058.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,056.23 / $10,700.40 / $13,411.97	Professional		$6,056.23	$10,700.40	$13,411.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $2,299.84 / $6,023.38	Professional		$2,299.84	$2,299.84	$6,023.38