Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,185.92 / $5,128.00 / $18,800.00	Facility		$2,185.92	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,474.77 / $2,185.92 / $4,223.05	Professional		$1,474.77	$2,185.92	$4,223.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,328.87 / $15,573.20 / $29,789.77	Facility		$2,328.87	$15,573.20	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.48 / $4,045.63 / $15,183.68	Professional		$2,389.48	$4,045.63	$15,183.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,131.64 / $3,426.84 / $5,106.71	Professional		$2,131.64	$3,426.84	$5,106.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,279.77 / $3,811.32 / $11,290.65	Facility		$2,279.77	$3,811.32	$11,290.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,279.77 / $3,657.82 / $4,678.97	Professional		$2,279.77	$3,657.82	$4,678.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $478.90 / $3,641.59	Professional		$136.86	$478.90	$3,641.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,347.10 / $3,262.64 / $3,476.22	Facility		$2,347.10	$3,262.64	$3,476.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,328.87 / $2,328.87 / $2,354.01	Facility		$2,328.87	$2,328.87	$2,354.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,423.03 / $3,907.98 / $4,677.35	Professional		$2,423.03	$3,907.98	$4,677.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,375.14 / $3,386.27 / $4,561.21	Professional		$2,375.14	$3,386.27	$4,561.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,216.71 / $3,526.60 / $4,987.60	Professional		$2,216.71	$3,526.60	$4,987.60