Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.41 / $2,026.80 / $20,680.40	Facility		$902.41	$2,026.80	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.49 / $902.41 / $2,026.80	Professional		$730.49	$902.41	$2,026.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $980.75 / $9,032.98 / $17,279.07	Facility		$980.75	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.09 / $1,712.73 / $6,395.18	Professional		$1,006.09	$1,712.73	$6,395.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.08 / $1,434.60 / $2,139.69	Professional		$970.08	$1,434.60	$2,139.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,100.48 / $1,703.73 / $8,977.36	Facility		$1,100.48	$1,703.73	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.46 / $1,566.57 / $2,103.73	Professional		$1,077.46	$1,566.57	$2,103.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $934.02 / $1,633.45	Professional		$67.39	$934.02	$1,633.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.34 / $1,370.24 / $1,569.14	Facility		$1,114.34	$1,370.24	$1,569.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.75 / $980.75 / $992.15	Facility		$980.75	$980.75	$992.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.58 / $1,642.78 / $1,969.31	Professional		$1,042.58	$1,642.78	$1,969.31
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 $1,000.23 / $1,427.21 / $1,922.42	Professional		$1,000.23	$1,427.21	$1,922.42
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 $942.92 / $1,328.66 / $2,084.50	Professional		$942.92	$1,328.66	$2,084.50