Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,445.92 / $8,017.46 / $16,889.70	Facility		$2,445.92	$8,017.46	$16,889.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.03 / $2,420.17 / $2,497.41	Professional		$1,622.03	$2,420.17	$2,497.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,703.38 / $4,119.43 / $9,011.28	Facility		$2,703.38	$4,119.43	$9,011.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $5,986.89 / $19,309.88	Professional		$2,317.19	$5,986.89	$19,309.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.63 / $5,472.91 / $6,648.06	Facility		$2,677.63	$5,472.91	$6,648.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,317.17 / $2,574.65 / $6,436.62	Facility		$2,317.17	$2,574.65	$6,436.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.17 / $2,574.65 / $6,436.62	Professional		$2,317.17	$2,574.65	$6,436.62
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 $2,574.65 / $2,574.65 / $3,604.51	Facility		$2,574.65	$2,574.65	$3,604.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,574.65 / $4,479.89 / $7,723.95	Facility		$2,574.65	$4,479.89	$7,723.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $3,218.31 / $3,887.72	Professional		$2,317.19	$3,218.31	$3,887.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,703.38 / $4,119.43 / $7,080.29	Facility		$2,703.38	$4,119.43	$7,080.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,847.56 / $5,031.46 / $6,306.34	Professional		$2,847.56	$5,031.46	$6,306.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,081.34 / $2,883.61	Professional		$1,081.34	$1,081.34	$2,883.61