Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.79 / $5,116.62 / $20,680.40	Facility		$1,527.79	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.76 / $973.10 / $2,117.79	Professional		$724.76	$973.10	$2,117.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,118.91 / $13,249.10 / $26,963.11	Facility		$1,118.91	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.40 / $1,960.59 / $7,983.09	Professional		$1,153.40	$1,960.59	$7,983.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.54 / $1,719.15 / $2,510.38	Professional		$987.54	$1,719.15	$2,510.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,034.88 / $1,852.36 / $8,968.34	Facility		$1,034.88	$1,852.36	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.88 / $1,725.49 / $2,598.39	Professional		$1,034.88	$1,725.49	$2,598.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $900.17 / $1,847.83	Professional		$143.43	$900.17	$1,847.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,168.82 / $1,558.42 / $1,672.99	Facility		$1,168.82	$1,558.42	$1,672.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.91 / $1,118.91 / $1,141.13	Facility		$1,118.91	$1,118.91	$1,141.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.58 / $1,903.46 / $2,340.44	Professional		$1,174.58	$1,903.46	$2,340.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,141.14 / $1,641.52 / $2,211.09	Professional		$1,141.14	$1,641.52	$2,211.09
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 $1,052.92 / $1,797.80 / $2,403.12	Professional		$1,052.92	$1,797.80	$2,403.12