Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.08 / $2,489.37 / $20,680.40	Facility		$1,111.08	$2,489.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.80 / $1,111.08 / $2,481.06	Professional		$792.80	$1,111.08	$2,481.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.26 / $4,538.57 / $9,712.45	Facility		$1,043.26	$4,538.57	$9,712.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.99 / $1,790.61 / $7,411.80	Professional		$1,063.99	$1,790.61	$7,411.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.59 / $1,579.99 / $2,273.73	Professional		$1,116.59	$1,579.99	$2,273.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $850.33 / $1,764.53 / $2,601.75	Facility		$850.33	$1,764.53	$2,601.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.33 / $1,674.15 / $2,210.05	Professional		$850.33	$1,674.15	$2,210.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $1,004.22 / $1,740.73	Professional		$67.47	$1,004.22	$1,740.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,267.65 / $1,545.02 / $1,865.28	Facility		$1,267.65	$1,545.02	$1,865.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.26 / $1,043.26 / $1,053.83	Facility		$1,043.26	$1,043.26	$1,053.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.77 / $1,745.50 / $2,091.77	Professional		$1,107.77	$1,745.50	$2,091.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,538.57 / $8,681.78	Facility		$2,943.06	$4,538.57	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,063.99 / $1,515.96 / $2,041.96	Professional		$1,063.99	$1,515.96	$2,041.96
United Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $1,408.58 / $4,611.00	Facility		$938.00	$1,408.58	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.06 / $1,500.96 / $2,327.26	Professional		$1,068.06	$1,500.96	$2,327.26