Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.41 / $2,321.42 / $20,680.40	Facility		$1,095.41	$2,321.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.15 / $1,095.41 / $2,321.42	Professional		$864.15	$1,095.41	$2,321.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $14,638.06 / $29,789.77	Facility		$1,187.31	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.56 / $2,072.89 / $7,752.30	Professional		$1,238.56	$2,072.89	$7,752.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.32 / $1,738.86 / $2,599.64	Professional		$1,102.32	$1,738.86	$2,599.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,234.40 / $2,103.02 / $10,488.49	Facility		$1,234.40	$2,103.02	$10,488.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.40 / $1,913.42 / $2,707.38	Professional		$1,234.40	$1,913.42	$2,707.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,010.50 / $1,946.09	Professional		$57.35	$1,010.50	$1,946.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,271.81 / $1,666.45 / $1,921.00	Facility		$1,271.81	$1,666.45	$1,921.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $1,187.31 / $1,203.28	Facility		$1,187.31	$1,187.31	$1,203.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.82 / $1,988.23 / $2,388.39	Professional		$1,261.82	$1,988.23	$2,388.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,210.90 / $1,730.94 / $2,331.52	Professional		$1,210.90	$1,730.94	$2,331.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.09 / $1,603.33 / $2,522.85	Professional		$1,113.09	$1,603.33	$2,522.85