Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.04 / $2,955.27 / $20,680.40	Facility		$1,241.04	$2,955.27	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,241.04 / $2,687.56	Professional		$926.78	$1,241.04	$2,687.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,459.66 / $8,681.12	Facility		$55.00	$1,459.66	$8,681.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.59 / $2,641.06 / $9,216.00	Professional		$1,536.59	$2,641.06	$9,216.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.96 / $2,195.96 / $3,207.59	Professional		$1,269.96	$2,195.96	$3,207.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,249.84 / $2,135.12 / $2,593.07	Facility		$1,249.84	$2,135.12	$2,593.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.84 / $2,135.12 / $2,698.55	Professional		$1,249.84	$2,135.12	$2,698.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $362.09 / $2,269.56	Professional		$107.93	$362.09	$2,269.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,471.28 / $1,996.60 / $2,139.98	Facility		$1,471.28	$1,996.60	$2,139.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,430.57 / $1,430.57 / $1,459.66	Facility		$1,430.57	$1,430.57	$1,459.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.61 / $2,434.79 / $2,993.74	Professional		$1,507.61	$2,434.79	$2,993.74
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 $1,459.00 / $2,099.73 / $2,828.29	Professional		$1,459.00	$2,099.73	$2,828.29
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 $1,290.24 / $2,243.63 / $3,072.22	Professional		$1,290.24	$2,243.63	$3,072.22