Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $12,060.50 / $25,406.90	Facility		$3,679.35	$12,060.50	$25,406.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,439.98 / $3,640.62 / $3,756.81	Professional		$2,439.98	$3,640.62	$3,756.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $13,555.50	Facility		$4,066.65	$6,196.80	$13,555.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $9,546.52 / $29,047.50	Professional		$3,485.70	$9,546.52	$29,047.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,027.92 / $8,232.82 / $10,000.57	Facility		$4,027.92	$8,232.82	$10,000.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,485.70 / $3,873.00 / $9,682.50	Facility		$3,485.70	$3,873.00	$9,682.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $3,873.00 / $9,682.50	Professional		$3,485.70	$3,873.00	$9,682.50
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 $3,873.00 / $3,873.00 / $5,422.20	Facility		$3,873.00	$3,873.00	$5,422.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $6,739.02 / $11,619.00	Facility		$3,873.00	$6,739.02	$11,619.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,841.25 / $5,848.23	Professional		$3,485.70	$4,841.25	$5,848.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $10,650.75	Facility		$4,066.65	$6,196.80	$10,650.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,283.54 / $7,568.33 / $9,486.07	Professional		$4,283.54	$7,568.33	$9,486.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $4,337.76	Professional		$1,626.66	$1,626.66	$4,337.76