Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.86 / $1,557.91 / $3,101.21	Professional		$1,185.86	$1,557.91	$3,101.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,572.36 / $9,286.14 / $18,898.13	Facility		$1,572.36	$9,286.14	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,663.80 / $2,753.01 / $10,273.00	Professional		$1,663.80	$2,753.01	$10,273.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.11 / $2,423.10 / $3,566.83	Professional		$1,482.11	$2,423.10	$3,566.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,458.66 / $2,609.56 / $9,036.82	Facility		$1,458.66	$2,609.56	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,458.66 / $2,491.82 / $3,248.70	Professional		$1,458.66	$2,491.82	$3,248.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,377.43 / $2,713.54	Professional		$150.54	$1,377.43	$2,713.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,760.57 / $2,301.44 / $2,369.79	Facility		$1,760.57	$2,301.44	$2,369.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,572.36 / $1,572.36 / $1,616.41	Facility		$1,572.36	$1,572.36	$1,616.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,687.74 / $2,696.26 / $3,315.23	Professional		$1,687.74	$2,696.26	$3,315.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,603.60 / $2,314.04 / $3,132.01	Professional		$1,603.60	$2,314.04	$3,132.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,511.41 / $2,464.33 / $3,400.65	Professional		$1,511.41	$2,464.33	$3,400.65