Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.42 / $2,443.96 / $20,680.40	Facility		$1,152.42	$2,443.96	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.79 / $1,152.42 / $2,443.96	Professional		$912.79	$1,152.42	$2,443.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,251.64 / $8,832.54 / $17,279.07	Facility		$1,251.64	$8,832.54	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.13 / $2,183.16 / $8,144.10	Professional		$1,301.13	$2,183.16	$8,144.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.19 / $1,883.17 / $2,729.04	Professional		$1,158.19	$1,883.17	$2,729.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,278.13 / $2,091.48 / $8,977.36	Facility		$1,278.13	$2,091.48	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.13 / $1,987.64 / $2,553.46	Professional		$1,278.13	$1,987.64	$2,553.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,062.52 / $2,052.78	Professional		$57.35	$1,062.52	$2,052.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,426.05 / $1,748.26 / $2,118.27	Facility		$1,426.05	$1,748.26	$2,118.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.64 / $1,251.64 / $1,264.06	Facility		$1,251.64	$1,251.64	$1,264.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.94 / $2,094.00 / $2,509.04	Professional		$1,328.94	$2,094.00	$2,509.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,276.51 / $1,818.37 / $2,449.29	Professional		$1,276.51	$1,818.37	$2,449.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $11,257.27 / $18,347.95	Facility		$7,198.00	$11,257.27	$18,347.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $1,689.50 / $2,657.07	Professional		$1,199.00	$1,689.50	$2,657.07