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 / $20,680.40	Facility		$1,733.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.49 / $1,678.18 / $3,032.46	Professional		$909.49	$1,678.18	$3,032.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.80 / $16,227.47 / $31,745.76	Facility		$1,630.80	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.86 / $3,007.70 / $10,476.75	Professional		$1,665.86	$3,007.70	$10,476.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.08 / $2,466.60 / $3,706.77	Professional		$1,401.08	$2,466.60	$3,706.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,355.11 / $2,365.67 / $15,077.93	Facility		$1,355.11	$2,365.67	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.11 / $2,275.94 / $3,794.06	Professional		$1,355.11	$2,275.94	$3,794.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $448.38 / $2,619.01	Professional		$137.47	$448.38	$2,619.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,451.97 / $2,229.76 / $2,437.46	Facility		$1,451.97	$2,229.76	$2,437.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.80 / $1,630.80 / $1,662.57	Facility		$1,630.80	$1,630.80	$1,662.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.32 / $2,766.63 / $3,409.90	Professional		$1,711.32	$2,766.63	$3,409.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,676.54 / $16,595.73 / $31,745.76	Facility		$12,676.54	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,663.20 / $2,391.63 / $3,221.45	Professional		$1,663.20	$2,391.63	$3,221.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,421.28 / $2,379.04 / $3,510.56	Professional		$1,421.28	$2,379.04	$3,510.56