Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,773.62 / $10,899.00 / $22,960.00	Facility		$2,773.62	$10,899.00	$22,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.72 / $2,744.42 / $3,139.03	Professional		$2,043.72	$2,744.42	$3,139.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,150.00 / $4,379.39 / $16,380.00	Facility		$3,150.00	$4,379.39	$16,380.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $4,970.00 / $17,430.00	Professional		$2,919.60	$4,970.00	$17,430.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,118.75 / $5,118.75 / $5,687.50	Facility		$5,118.75	$5,118.75	$5,687.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,150.00 / $3,500.00 / $8,647.86	Facility		$3,150.00	$3,500.00	$8,647.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $3,500.00 / $8,750.00	Professional		$3,150.00	$3,500.00	$8,750.00
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 $3,500.00 / $3,500.00 / $4,900.00	Facility		$3,500.00	$3,500.00	$4,900.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $7,299.00	Facility		$2,919.60	$2,919.60	$7,299.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $3,795.48 / $4,970.00	Professional		$3,150.00	$3,795.48	$4,970.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,357.54 / $4,321.01 / $9,275.00	Facility		$3,357.54	$4,321.01	$9,275.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,168.43 / $4,911.12 / $5,943.00	Professional		$3,168.43	$4,911.12	$5,943.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $3,325.00	Professional		$1,226.23	$1,226.23	$3,325.00