Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.49 / $2,719.21 / $20,680.40	Facility		$1,207.49	$2,719.21	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.86 / $1,207.49 / $2,719.21	Professional		$956.86	$1,207.49	$2,719.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.70 / $14,638.06 / $29,789.77	Facility		$1,313.70	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.57 / $2,294.21 / $8,548.04	Professional		$1,365.57	$2,294.21	$8,548.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.71 / $1,921.37 / $2,861.11	Professional		$1,220.71	$1,921.37	$2,861.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,362.40 / $2,292.33 / $10,488.49	Facility		$1,362.40	$2,292.33	$10,488.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.40 / $2,106.81 / $2,812.04	Professional		$1,362.40	$2,106.81	$2,812.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,092.94 / $2,139.80	Professional		$57.35	$1,092.94	$2,139.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.26 / $1,834.77 / $2,063.60	Facility		$1,492.26	$1,834.77	$2,063.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.70 / $1,313.70 / $1,326.67	Facility		$1,313.70	$1,313.70	$1,326.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.55 / $2,200.52 / $2,633.74	Professional		$1,396.55	$2,200.52	$2,633.74
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 $1,339.80 / $1,908.44 / $2,570.61	Professional		$1,339.80	$1,908.44	$2,570.61
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $19,333.91 / $31,511.89	Facility		$12,579.00	$19,333.91	$31,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.24 / $1,735.36 / $2,799.22	Professional		$1,263.24	$1,735.36	$2,799.22