Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.87 / $9,513.92 / $27,982.24	Facility		$2,070.87	$9,513.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.98 / $2,070.87 / $3,398.60	Professional		$1,134.98	$2,070.87	$3,398.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $28,406.95 / $28,406.95	Facility		$2,559.00	$28,406.95	$28,406.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.43 / $4,734.88 / $18,951.59	Professional		$2,632.43	$4,734.88	$18,951.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,046.20 / $7,046.20 / $7,046.20	Professional		$7,046.20	$7,046.20	$7,046.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.11 / $2,194.63 / $2,438.51	Facility		$1,463.11	$2,194.63	$2,438.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $2,559.00 / $3,010.72	Facility		$2,559.00	$2,559.00	$3,010.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,010.72 / $4,449.72 / $5,975.97	Professional		$3,010.72	$4,449.72	$5,975.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,609.84 / $4,226.85 / $5,833.67	Professional		$2,609.84	$4,226.85	$5,833.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,348.28 / $3,575.79 / $7,088.34	Professional		$2,348.28	$3,575.79	$7,088.34