Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.63 / $5,128.00 / $20,680.40	Facility		$1,670.63	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.98 / $1,064.34 / $2,319.41	Professional		$793.98	$1,064.34	$2,319.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,249.90 / $7,434.14	Facility		$55.00	$1,249.90	$7,434.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.54 / $2,260.09 / $7,891.35	Professional		$1,286.54	$2,260.09	$7,891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.24 / $1,879.86 / $2,747.13	Professional		$1,085.24	$1,879.86	$2,747.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,036.07 / $1,824.82 / $2,216.39	Facility		$1,036.07	$1,824.82	$2,216.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.21 / $1,824.82 / $2,299.57	Professional		$1,068.21	$1,824.82	$2,299.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $1,036.42 / $2,058.82	Professional		$148.90	$1,036.42	$2,058.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,250.01 / $1,703.81 / $1,832.45	Facility		$1,250.01	$1,703.81	$1,832.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.27 / $1,226.27 / $1,249.90	Facility		$1,226.27	$1,226.27	$1,249.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.54 / $2,084.89 / $2,563.52	Professional		$1,286.54	$2,084.89	$2,563.52
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 $1,250.63 / $1,797.99 / $2,421.84	Professional		$1,250.63	$1,797.99	$2,421.84
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 $1,142.96 / $1,819.51 / $2,762.49	Professional		$1,142.96	$1,819.51	$2,762.49