Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.43 / $2,803.97 / $20,680.40	Facility		$1,316.43	$2,803.97	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.57 / $1,316.43 / $2,803.97	Professional		$1,029.57	$1,316.43	$2,803.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.74 / $1,780.27 / $4,606.08	Facility		$1,050.74	$1,780.27	$4,606.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.37 / $2,499.69 / $9,326.18	Professional		$1,468.37	$2,499.69	$9,326.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.41 / $2,094.90 / $3,118.01	Professional		$1,331.41	$2,094.90	$3,118.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $552.04 / $2,238.80 / $2,925.65	Facility		$552.04	$2,238.80	$2,925.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.91 / $2,153.88 / $2,718.98	Professional		$767.91	$2,153.88	$2,718.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,212.30 / $2,338.55	Professional		$57.35	$1,212.30	$2,338.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $1,996.68 / $2,135.29	Facility		$1,520.00	$1,996.68	$2,135.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.29 / $1,433.29 / $1,446.86	Facility		$1,433.29	$1,433.29	$1,446.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.62 / $2,397.60 / $2,871.88	Professional		$1,521.62	$2,397.60	$2,871.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,359.85 / $1,848.86 / $3,475.48	Facility		$1,359.85	$1,848.86	$3,475.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,461.77 / $2,081.33 / $2,803.49	Professional		$1,461.77	$2,081.33	$2,803.49
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.03 / $1,878.61 / $3,042.30	Professional		$1,315.03	$1,878.61	$3,042.30