Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.25 / $1,661.72 / $3,225.24	Professional		$1,034.25	$1,661.72	$3,225.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,231.29 / $37,102.31	Facility		$5,897.00	$18,231.29	$37,102.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.11 / $3,052.74 / $10,555.35	Professional		$1,776.11	$3,052.74	$10,555.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.46 / $2,550.76 / $3,711.35	Professional		$1,501.46	$2,550.76	$3,711.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,535.10 / $2,770.49 / $7,779.83	Facility		$1,535.10	$2,770.49	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.10 / $2,576.67 / $3,732.91	Professional		$1,535.10	$2,576.67	$3,732.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,430.60 / $2,822.09	Professional		$150.54	$1,430.60	$2,822.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.75 / $2,363.76 / $2,490.04	Facility		$1,751.75	$2,363.76	$2,490.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,650.73 / $1,650.73 / $1,680.85	Facility		$1,650.73	$1,650.73	$1,680.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.47 / $2,803.74 / $3,447.39	Professional		$1,760.47	$2,803.74	$3,447.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,683.53 / $2,417.92 / $3,256.87	Professional		$1,683.53	$2,417.92	$3,256.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.87 / $2,727.23 / $3,532.82	Professional		$1,554.87	$2,727.23	$3,532.82