Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.61 / $3,993.89 / $20,680.40	Facility		$1,657.61	$3,993.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.70 / $1,657.61 / $3,632.10	Professional		$1,248.70	$1,657.61	$3,632.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,960.99 / $11,671.03	Facility		$55.00	$1,960.99	$11,671.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.49 / $3,527.50 / $12,384.75	Professional		$2,018.49	$3,527.50	$12,384.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.01 / $2,938.00 / $4,318.83	Professional		$1,768.01	$2,938.00	$4,318.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,590.39 / $2,859.75 / $3,610.05	Facility		$1,590.39	$2,859.75	$3,610.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.04 / $2,859.75 / $3,610.05	Professional		$1,740.04	$2,859.75	$3,610.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $529.95 / $3,024.18	Professional		$164.99	$529.95	$3,024.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,912.96 / $2,692.05 / $2,874.97	Facility		$1,912.96	$2,692.05	$2,874.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,909.85 / $1,909.85 / $1,960.99	Facility		$1,909.85	$1,909.85	$1,960.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,018.49 / $3,263.61 / $4,021.95	Professional		$2,018.49	$3,263.61	$4,021.95
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 $1,947.79 / $2,813.93 / $3,799.68	Professional		$1,947.79	$2,813.93	$3,799.68
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.22 / $2,835.89 / $4,103.39	Professional		$1,740.22	$2,835.89	$4,103.39