Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.64 / $13,147.68 / $23,856.49	Facility		$2,288.64	$13,147.68	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,026.97 / $2,288.64 / $2,596.67	Professional		$2,026.97	$2,288.64	$2,596.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,985.72 / $43,086.56 / $43,086.56	Facility		$2,985.72	$43,086.56	$43,086.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,045.04 / $5,015.09 / $20,300.78	Professional		$3,045.04	$5,015.09	$20,300.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,116.12 / $7,116.12 / $7,116.12	Professional		$7,116.12	$7,116.12	$7,116.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,053.07 / $4,465.02 / $4,660.52	Facility		$3,053.07	$4,465.02	$4,660.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,985.72 / $2,985.72 / $3,178.89	Facility		$2,985.72	$2,985.72	$3,178.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,386.46 / $4,932.05 / $6,309.79	Professional		$3,386.46	$4,932.05	$6,309.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,045.04 / $4,215.34 / $6,023.90	Professional		$3,045.04	$4,215.34	$6,023.90
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,778.58 / $3,822.78 / $6,363.63	Professional		$2,778.58	$3,822.78	$6,363.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,151.04 / $2,151.04 / $2,151.04	Professional		$2,151.04	$2,151.04	$2,151.04