Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.59 / $5,132.00 / $22,024.00	Facility		$1,586.59	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.54 / $1,455.59 / $3,147.39	Professional		$1,086.54	$1,455.59	$3,147.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,677.91 / $13,249.10 / $26,963.11	Facility		$1,677.91	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.77 / $2,959.80 / $10,790.10	Professional		$1,759.77	$2,959.80	$10,790.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.38 / $2,572.17 / $3,752.87	Professional		$1,509.38	$2,572.17	$3,752.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,548.12 / $2,679.31 / $11,411.87	Facility		$1,548.12	$2,679.31	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.12 / $2,590.73 / $3,740.62	Professional		$1,548.12	$2,590.73	$3,740.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $495.21 / $2,655.81	Professional		$141.12	$495.21	$2,655.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,771.31 / $2,361.75 / $2,518.71	Facility		$1,771.31	$2,361.75	$2,518.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,677.91 / $1,677.91 / $1,709.64	Facility		$1,677.91	$1,677.91	$1,709.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,782.46 / $2,851.76 / $3,506.44	Professional		$1,782.46	$2,851.76	$3,506.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,711.25 / $2,459.33 / $3,312.66	Professional		$1,711.25	$2,459.33	$3,312.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.01 / $2,630.73 / $3,785.10	Professional		$1,595.01	$2,630.73	$3,785.10