Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.15 / $9,513.92 / $27,982.24	Facility		$1,230.15	$9,513.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.04 / $1,230.15 / $1,895.27	Professional		$746.04	$1,230.15	$1,895.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,460.49 / $1,784.16 / $3,855.69	Facility		$1,460.49	$1,784.16	$3,855.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.62 / $2,784.48 / $10,243.43	Professional		$1,621.62	$2,784.48	$10,243.43
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 $3,590.84 / $3,590.84 / $3,590.84	Professional		$3,590.84	$3,590.84	$3,590.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,544.40 / $2,239.41 / $2,351.69	Facility		$1,544.40	$2,239.41	$2,351.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,590.03 / $1,590.03 / $1,604.07	Facility		$1,590.03	$1,590.03	$1,604.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,651.10 / $2,670.76 / $3,196.56	Professional		$1,651.10	$2,670.76	$3,196.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,460.49 / $1,752.59 / $3,329.91	Facility		$1,460.49	$1,752.59	$3,329.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.62 / $2,367.50 / $3,267.50	Professional		$1,621.62	$2,367.50	$3,267.50
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 $1,544.40 / $2,105.98 / $3,388.90	Professional		$1,544.40	$2,105.98	$3,388.90