Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.05 / $2,955.52 / $20,680.40	Facility		$1,253.05	$2,955.52	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.69 / $1,253.05 / $2,687.80	Professional		$935.69	$1,253.05	$2,687.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,472.91 / $8,761.06	Facility		$55.00	$1,472.91	$8,761.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.10 / $2,665.96 / $9,299.62	Professional		$1,516.10	$2,665.96	$9,299.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.38 / $2,217.41 / $3,237.84	Professional		$1,273.38	$2,217.41	$3,237.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,253.25 / $2,140.92 / $2,615.10	Facility		$1,253.25	$2,140.92	$2,615.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.25 / $2,140.92 / $2,725.13	Professional		$1,253.25	$2,140.92	$2,725.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $432.83 / $2,290.71	Professional		$116.14	$432.83	$2,290.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.14 / $1,995.93 / $2,159.41	Facility		$1,463.14	$1,995.93	$2,159.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.62 / $1,444.62 / $1,472.91	Facility		$1,444.62	$1,444.62	$1,472.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.10 / $2,456.89 / $3,020.92	Professional		$1,516.10	$2,456.89	$3,020.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,183.62 / $11,183.62 / $21,189.66	Facility		$11,183.62	$11,183.62	$21,189.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,473.32 / $2,118.80 / $2,853.97	Professional		$1,473.32	$2,118.80	$2,853.97
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 $1,341.07 / $2,101.62 / $3,101.20	Professional		$1,341.07	$2,101.62	$3,101.20