Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.38 / $5,128.00 / $20,680.40	Facility		$1,514.38	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.35 / $964.66 / $2,069.21	Professional		$718.35	$964.66	$2,069.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,131.08 / $6,729.38	Facility		$55.00	$1,131.08	$6,729.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.24 / $2,047.61 / $7,140.90	Professional		$1,164.24	$2,047.61	$7,140.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $978.03 / $1,704.05 / $2,487.87	Professional		$978.03	$1,704.05	$2,487.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $962.53 / $1,644.30 / $2,011.73	Facility		$962.53	$1,644.30	$2,011.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.53 / $1,644.30 / $2,094.01	Professional		$962.53	$1,644.30	$2,094.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $901.38 / $1,798.93	Professional		$143.91	$901.38	$1,798.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.70 / $1,536.31 / $1,658.25	Facility		$1,141.70	$1,536.31	$1,658.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.40 / $1,131.08 / $1,964.09	Facility		$1,109.40	$1,131.08	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.24 / $1,886.69 / $2,319.82	Professional		$1,164.24	$1,886.69	$2,319.82
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 $1,131.44 / $1,627.07 / $2,191.61	Professional		$1,131.44	$1,627.07	$2,191.61
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 $1,044.57 / $1,614.17 / $2,381.90	Professional		$1,044.57	$1,614.17	$2,381.90