Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $10,122.46 / $27,982.24	Facility		$5,116.62	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,211.31 / $5,549.79 / $6,832.95	Professional		$4,211.31	$5,549.79	$6,832.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,461.37 / $9,879.37 / $21,848.69	Facility		$5,461.37	$9,879.37	$21,848.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,736.37 / $9,712.15 / $36,620.18	Professional		$5,736.37	$9,712.15	$36,620.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,753.50 / $9,074.62 / $12,700.24	Professional		$6,753.50	$9,074.62	$12,700.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,945.20 / $8,720.81 / $13,037.81	Facility		$1,945.20	$8,720.81	$13,037.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.20 / $3,914.33 / $12,836.90	Professional		$1,945.20	$3,914.33	$12,836.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,044.30 / $7,974.51 / $8,407.16	Facility		$5,044.30	$7,974.51	$8,407.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,461.37 / $5,461.37 / $5,734.44	Facility		$5,461.37	$5,461.37	$5,734.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,902.58 / $9,094.64 / $11,761.24	Professional		$5,902.58	$9,094.64	$11,761.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,546.30 / $9,879.37 / $18,898.13	Facility		$7,546.30	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,569.87 / $8,249.06 / $11,111.25	Professional		$5,569.87	$8,249.06	$11,111.25
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,101.67 / $8,804.59 / $12,668.07	Professional		$5,101.67	$8,804.59	$12,668.07