Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.65 / $5,116.62 / $20,680.40	Facility		$1,634.65	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.62 / $1,180.23 / $2,343.86	Professional		$901.62	$1,180.23	$2,343.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.39 / $36,378.16 / $70,377.42	Facility		$1,191.39	$36,378.16	$70,377.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.65 / $2,201.16 / $7,646.93	Professional		$1,280.65	$2,201.16	$7,646.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.08 / $1,839.37 / $2,708.69	Professional		$1,120.08	$1,839.37	$2,708.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,107.11 / $2,015.05 / $51,421.27	Facility		$1,107.11	$2,015.05	$51,421.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,988.24 / $12,874.32	Professional		$1,107.11	$1,988.24	$12,874.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $1,082.88 / $2,066.40	Professional		$149.68	$1,082.88	$2,066.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.64 / $1,739.32 / $1,810.16	Facility		$1,340.64	$1,739.32	$1,810.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.39 / $1,191.39 / $1,226.58	Facility		$1,191.39	$1,191.39	$1,226.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.55 / $2,046.01 / $2,515.71	Professional		$1,262.55	$2,046.01	$2,515.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,787.22 / $37,071.65 / $70,377.42	Facility		$27,787.22	$37,071.65	$70,377.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $1,763.85 / $2,376.67	Professional		$1,215.06	$1,763.85	$2,376.67
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.50 / $1,735.21 / $2,560.51	Professional		$1,133.50	$1,735.21	$2,560.51