Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.54 / $3,556.38 / $8,154.31	Facility		$1,073.54	$3,556.38	$8,154.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $1,073.54 / $1,107.80	Professional		$719.50	$1,073.54	$1,107.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,199.16 / $1,874.12 / $5,424.79	Facility		$1,199.16	$1,874.12	$5,424.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $3,226.86 / $8,565.45	Professional		$1,142.06	$3,226.86	$8,565.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $2,427.67 / $2,948.95	Facility		$1,187.74	$2,427.67	$2,948.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,027.84 / $1,142.06 / $1,941.50	Facility		$1,027.84	$1,142.06	$1,941.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,142.06 / $2,855.15	Professional		$1,027.84	$1,142.06	$2,855.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.06 / $1,142.06 / $1,598.88	Facility		$1,142.06	$1,142.06	$1,598.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.06 / $1,998.61 / $3,426.18	Facility		$1,142.06	$1,998.61	$3,426.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,427.57 / $1,724.51	Professional		$1,027.84	$1,427.57	$1,724.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,199.16 / $1,884.40 / $3,140.67	Facility		$1,199.16	$1,884.40	$3,140.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,263.11 / $2,231.80 / $2,655.59	Professional		$1,263.11	$2,231.80	$2,655.59
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $479.67 / $1,279.10	Professional		$479.67	$479.67	$1,279.10