Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.83 / $5,116.62 / $18,800.00	Facility		$1,319.83	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $840.47 / $1,909.22	Professional		$622.14	$840.47	$1,909.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $966.25 / $20,128.48 / $40,963.26	Facility		$966.25	$20,128.48	$40,963.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.18 / $1,783.67 / $6,221.85	Professional		$1,014.18	$1,783.67	$6,221.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.18 / $1,485.14 / $2,168.46	Professional		$846.18	$1,485.14	$2,168.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $893.11 / $1,560.32 / $8,968.34	Facility		$893.11	$1,560.32	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.11 / $1,476.64 / $3,885.58	Professional		$893.11	$1,476.64	$3,885.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $271.03 / $1,533.48	Professional		$73.20	$271.03	$1,533.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,044.09 / $1,380.87 / $1,444.52	Facility		$1,044.09	$1,380.87	$1,444.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.25 / $966.25 / $985.29	Facility		$966.25	$966.25	$985.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.18 / $1,643.52 / $2,020.82	Professional		$1,014.18	$1,643.52	$2,020.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $985.45 / $1,417.35 / $1,909.14	Professional		$985.45	$1,417.35	$1,909.14
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 $906.85 / $1,552.23 / $2,074.87	Professional		$906.85	$1,552.23	$2,074.87