Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.43 / $2,895.95 / $20,680.40	Facility		$1,177.43	$2,895.95	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.31 / $1,177.43 / $2,867.00	Professional		$939.31	$1,177.43	$2,867.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.54 / $8,490.57 / $17,279.07	Facility		$1,281.54	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.66 / $2,234.73 / $8,334.83	Professional		$1,324.66	$2,234.73	$8,334.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.25 / $1,906.45 / $2,787.82	Professional		$1,190.25	$1,906.45	$2,787.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,433.91 / $2,144.88 / $8,977.36	Facility		$1,433.91	$2,144.88	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.90 / $2,040.76 / $2,723.43	Professional		$1,405.90	$2,040.76	$2,723.43
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 $1,555.30 / $1,864.79 / $2,197.60	Facility		$1,555.30	$1,864.79	$2,197.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,281.54 / $1,281.54 / $1,293.31	Facility		$1,281.54	$1,281.54	$1,293.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,360.33 / $2,143.46 / $2,567.09	Professional		$1,360.33	$2,143.46	$2,567.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,255.42 / $9,027.82 / $17,279.07	Facility		$6,255.42	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,307.00 / $1,860.44 / $2,505.96	Professional		$1,307.00	$1,860.44	$2,505.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.57 / $1,735.39 / $2,719.81	Professional		$1,203.57	$1,735.39	$2,719.81