Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.50 / $6,321.42 / $13,316.80	Facility		$1,928.50	$6,321.42	$13,316.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.90 / $1,908.20 / $1,969.10	Professional		$1,278.90	$1,908.20	$1,969.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $3,248.00 / $7,105.00	Facility		$2,131.50	$3,248.00	$7,105.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $4,971.70 / $15,225.00	Professional		$1,827.00	$4,971.70	$15,225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,111.19 / $4,315.16 / $5,241.71	Facility		$2,111.19	$4,315.16	$5,241.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,030.00 / $5,075.00	Facility		$1,827.00	$2,030.00	$5,075.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,030.00 / $5,075.00	Professional		$1,827.00	$2,030.00	$5,075.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,842.00	Facility		$2,030.00	$2,030.00	$2,842.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $3,532.20 / $6,090.00	Facility		$2,030.00	$3,532.20	$6,090.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,537.50 / $3,065.30	Professional		$1,827.00	$2,537.50	$3,065.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $3,248.00 / $5,582.50	Facility		$2,131.50	$3,248.00	$5,582.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,245.17 / $3,966.63 / $4,971.70	Professional		$2,245.17	$3,966.63	$4,971.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,928.50 / $2,030.00 / $2,030.00	Facility		$1,928.50	$2,030.00	$2,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $2,273.60	Professional		$852.60	$852.60	$2,273.60