Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.73 / $2,140.13 / $20,680.40	Facility		$895.73	$2,140.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $895.73 / $1,946.27	Professional		$674.05	$895.73	$1,946.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.14 / $20,128.48 / $40,963.26	Facility		$1,025.14	$20,128.48	$40,963.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.39 / $1,889.08 / $6,562.05	Professional		$1,082.39	$1,889.08	$6,562.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.09 / $1,581.31 / $2,325.81	Professional		$921.09	$1,581.31	$2,325.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $914.18 / $1,717.62 / $8,968.34	Facility		$914.18	$1,717.62	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.18 / $1,634.68 / $3,885.58	Professional		$914.18	$1,634.68	$3,885.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.67 / $840.46 / $1,703.29	Professional		$137.67	$840.46	$1,703.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,046.04 / $1,446.53 / $1,541.67	Facility		$1,046.04	$1,446.53	$1,541.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.14 / $1,025.14 / $1,051.56	Facility		$1,025.14	$1,025.14	$1,051.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.39 / $1,754.05 / $2,156.73	Professional		$1,082.39	$1,754.05	$2,156.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,045.51 / $1,512.68 / $2,037.54	Professional		$1,045.51	$1,512.68	$2,037.54
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 $962.28 / $1,489.18 / $2,197.46	Professional		$962.28	$1,489.18	$2,197.46