Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,231.70 / $10,705.90 / $24,547.20	Facility		$3,231.70	$10,705.90	$24,547.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,165.92 / $3,231.70 / $3,334.84	Professional		$2,165.92	$3,231.70	$3,334.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,609.88 / $5,641.73 / $16,330.41	Facility		$3,609.88	$5,641.73	$16,330.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.18 / $9,713.48 / $25,784.85	Professional		$3,094.18	$9,713.48	$25,784.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,575.50 / $7,308.11 / $8,877.31	Facility		$3,575.50	$7,308.11	$8,877.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,094.18 / $3,437.98 / $5,844.57	Facility		$3,094.18	$3,437.98	$5,844.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,094.18 / $3,437.98 / $8,594.95	Professional		$3,094.18	$3,437.98	$8,594.95
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 $3,437.98 / $3,437.98 / $4,813.17	Facility		$3,437.98	$3,437.98	$4,813.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,437.98 / $6,016.47 / $10,313.94	Facility		$3,437.98	$6,016.47	$10,313.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,094.18 / $4,297.47 / $5,191.35	Professional		$3,094.18	$4,297.47	$5,191.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,609.88 / $5,672.67 / $9,454.45	Facility		$3,609.88	$5,672.67	$9,454.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,802.41 / $6,718.16 / $7,993.87	Professional		$3,802.41	$6,718.16	$7,993.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $1,443.95 / $3,850.54	Professional		$1,443.95	$1,443.95	$3,850.54