Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.12 / $3,016.17 / $3,804.87	Facility		$2,462.12	$3,016.17	$3,804.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.57 / $3,460.20 / $7,001.33	Professional		$2,475.57	$3,460.20	$7,001.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.37 / $18,220.34 / $35,644.43	Facility		$1,845.37	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.48 / $3,108.07 / $11,755.05	Professional		$1,899.48	$3,108.07	$11,755.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,209.51 / $5,506.05 / $6,596.87	Professional		$5,209.51	$5,506.05	$6,596.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,277.20 / $2,642.63 / $3,694.40	Facility		$1,277.20	$2,642.63	$3,694.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.20 / $2,588.69 / $3,394.32	Professional		$1,277.20	$2,588.69	$3,394.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $745.56 / $2,620.76	Professional		$156.38	$745.56	$2,620.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,876.95 / $2,595.58 / $2,705.46	Facility		$1,876.95	$2,595.58	$2,705.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.68 / $1,800.68 / $1,845.37	Facility		$1,800.68	$1,800.68	$1,845.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,061.37 / $2,941.50 / $3,662.87	Professional		$2,061.37	$2,941.50	$3,662.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,836.45 / $2,626.64 / $3,496.91	Professional		$1,836.45	$2,626.64	$3,496.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.98 / $2,211.60 / $3,841.21	Professional		$1,612.98	$2,211.60	$3,841.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,123.86 / $1,123.86 / $1,443.64	Professional		$1,123.86	$1,123.86	$1,443.64