Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,402.36 / $20,986.30 / $44,210.00	Facility		$6,402.36	$20,986.30	$44,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,245.78 / $6,334.97 / $6,537.15	Professional		$4,245.78	$6,334.97	$6,537.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,076.30 / $10,782.93 / $23,587.66	Facility		$7,076.30	$10,782.93	$23,587.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $16,611.84 / $50,544.98	Professional		$6,065.40	$16,611.84	$50,544.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,008.90 / $14,325.75 / $17,401.77	Facility		$7,008.90	$14,325.75	$17,401.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,065.40 / $6,739.33 / $16,848.32	Facility		$6,065.40	$6,739.33	$16,848.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $6,739.33 / $16,848.32	Professional		$6,065.40	$6,739.33	$16,848.32
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 $6,739.33 / $6,739.33 / $9,435.06	Facility		$6,739.33	$6,739.33	$9,435.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,739.33 / $11,726.43 / $20,217.99	Facility		$6,739.33	$11,726.43	$20,217.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $8,424.16 / $10,176.39	Professional		$6,065.40	$8,424.16	$10,176.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,076.30 / $10,782.93 / $18,533.16	Facility		$7,076.30	$10,782.93	$18,533.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,453.70 / $13,169.62 / $16,507.04	Professional		$7,453.70	$13,169.62	$16,507.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $2,830.52 / $7,548.05	Professional		$2,830.52	$2,830.52	$7,548.05