Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.67 / $3,925.18 / $18,711.00	Facility		$1,331.67	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.12 / $1,019.90 / $1,940.82	Professional		$580.12	$1,019.90	$1,940.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $972.95 / $5,821.48	Facility		$55.00	$972.95	$5,821.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.92 / $1,775.37 / $6,139.28	Professional		$1,032.92	$1,775.37	$6,139.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.61 / $1,498.47 / $2,195.78	Professional		$893.61	$1,498.47	$2,195.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $1,444.52 / $1,841.05	Facility		$878.93	$1,444.52	$1,841.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.93 / $1,444.52 / $1,861.87	Professional		$878.93	$1,444.52	$1,861.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $266.26 / $1,520.17	Professional		$75.97	$266.26	$1,520.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.83 / $1,364.12 / $1,441.49	Facility		$1,012.83	$1,364.12	$1,441.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.98 / $972.95 / $1,140.42	Facility		$963.98	$972.95	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.34 / $1,627.57 / $1,995.51	Professional		$1,036.34	$1,627.57	$1,995.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,092.14 / $8,092.14 / $13,128.34	Facility		$8,092.14	$8,092.14	$13,128.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $983.14 / $1,399.61 / $1,885.23	Professional		$983.14	$1,399.61	$1,885.23
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $1,425.19 / $2,065.21	Professional		$889.29	$1,425.19	$2,065.21