Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $3,925.18 / $18,711.00	Facility		$1,733.00	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.41 / $1,299.46 / $2,646.17	Professional		$957.41	$1,299.46	$2,646.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,772.11 / $11,041.39	Facility		$839.66	$5,772.11	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.35 / $2,474.16 / $8,631.83	Professional		$1,444.35	$2,474.16	$8,631.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.72 / $2,075.10 / $3,057.20	Professional		$1,260.72	$2,075.10	$3,057.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,111.20 / $2,055.57 / $6,620.15	Facility		$1,111.20	$2,055.57	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.20 / $2,055.57 / $2,574.58	Professional		$1,111.20	$2,055.57	$2,574.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $296.44 / $2,236.21	Professional		$74.23	$296.44	$2,236.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,472.83 / $1,959.08 / $2,029.43	Facility		$1,472.83	$1,959.08	$2,029.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,344.50 / $1,384.25	Facility		$839.66	$1,344.50	$1,384.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.61 / $2,309.01 / $2,839.08	Professional		$1,459.61	$2,309.01	$2,839.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,408.99 / $5,772.11 / $11,041.39	Facility		$4,408.99	$5,772.11	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,371.22 / $1,980.34 / $2,682.18	Professional		$1,371.22	$1,980.34	$2,682.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.49 / $2,108.96 / $2,894.76	Professional		$1,260.49	$2,108.96	$2,894.76