Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.37 / $5,128.00 / $20,680.40	Facility		$1,529.37	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.52 / $975.03 / $2,093.64	Professional		$733.52	$975.03	$2,093.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.53 / $13,249.10 / $26,963.11	Facility		$1,122.53	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.82 / $2,065.04 / $7,201.50	Professional		$1,178.82	$2,065.04	$7,201.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $1,720.91 / $2,522.80	Professional		$994.10	$1,720.91	$2,522.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,031.57 / $1,869.22 / $11,411.87	Facility		$1,031.57	$1,869.22	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.57 / $1,722.12 / $2,598.39	Professional		$1,031.57	$1,722.12	$2,598.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $1,005.55 / $1,913.57	Professional		$100.07	$1,005.55	$1,913.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.08 / $1,555.74 / $1,679.02	Facility		$1,150.08	$1,555.74	$1,679.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.53 / $1,145.24 / $1,964.09	Facility		$1,122.53	$1,145.24	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,178.82 / $1,910.32 / $2,348.87	Professional		$1,178.82	$1,910.32	$2,348.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,144.83 / $1,647.44 / $2,219.06	Professional		$1,144.83	$1,647.44	$2,219.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.72 / $1,627.89 / $2,402.16	Professional		$1,050.72	$1,627.89	$2,402.16