Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,019.71 / $4,432.92 / $18,711.00	Facility		$2,019.71	$4,432.92	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.50 / $2,019.71 / $4,470.89	Professional		$1,521.50	$2,019.71	$4,470.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,324.80 / $8,859.76 / $16,947.71	Facility		$2,324.80	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,455.29 / $4,291.10 / $15,081.00	Professional		$2,455.29	$4,291.10	$15,081.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,164.19 / $3,574.72 / $5,259.35	Professional		$2,164.19	$3,574.72	$5,259.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,809.99 / $3,300.84 / $7,931.04	Facility		$1,809.99	$3,300.84	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,809.99 / $3,374.60 / $4,418.34	Professional		$1,809.99	$3,374.60	$4,418.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $666.56 / $3,664.79	Professional		$197.54	$666.56	$3,664.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,442.65 / $3,295.31 / $3,500.75	Facility		$2,442.65	$3,295.31	$3,500.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,324.80 / $2,324.80 / $2,387.83	Facility		$2,324.80	$2,324.80	$2,387.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,457.84 / $3,974.73 / $4,897.39	Professional		$2,457.84	$3,974.73	$4,897.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,370.98 / $3,423.06 / $4,626.74	Professional		$2,370.98	$3,423.06	$4,626.74
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 $2,113.50 / $3,453.80 / $4,991.64	Professional		$2,113.50	$3,453.80	$4,991.64