Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.42 / $12,647.10 / $41,067.08	Facility		$1,190.42	$12,647.10	$41,067.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.12 / $3,516.18 / $11,414.16	Professional		$663.12	$3,516.18	$11,414.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,772.12 / $29,304.00 / $59,636.26	Facility		$8,772.12	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.35 / $11,637.93 / $47,240.24	Professional		$1,066.35	$11,637.93	$47,240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.54 / $2,101.40 / $19,697.02	Professional		$1,028.54	$2,101.40	$19,697.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,051.30 / $8,531.79 / $18,476.68	Facility		$1,051.30	$8,531.79	$18,476.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.16 / $6,751.18 / $17,168.45	Professional		$1,033.16	$6,751.18	$17,168.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,614.70 / $9,829.38 / $16,382.30	Professional		$1,614.70	$9,829.38	$16,382.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,346.88 / $12,218.42 / $13,981.48	Facility		$1,346.88	$12,218.42	$13,981.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,772.12 / $8,772.12 / $9,314.12	Facility		$8,772.12	$8,772.12	$9,314.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $2,131.51 / $16,079.65	Professional		$1,101.70	$2,131.51	$16,079.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,748.67 / $31,176.05 / $59,636.26	Facility		$22,748.67	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,066.35 / $1,967.80 / $14,884.72	Professional		$1,066.35	$1,967.80	$14,884.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,318.00 / $11,177.86 / $24,236.00	Facility		$6,318.00	$11,177.86	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,633.12 / $12,447.77 / $19,876.21	Professional		$8,633.12	$12,447.77	$19,876.21