Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.51 / $5,116.62 / $18,800.00	Facility		$1,627.51	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $977.93 / $2,299.42	Professional		$739.35	$977.93	$2,299.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.58 / $8,327.75 / $16,947.71	Facility		$1,213.58	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.61 / $2,250.96 / $8,116.95	Professional		$1,309.61	$2,250.96	$8,116.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.36 / $1,831.34 / $2,676.85	Professional		$1,083.36	$1,831.34	$2,676.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,108.23 / $1,929.92 / $5,198.37	Facility		$1,108.23	$1,929.92	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.23 / $1,833.86 / $2,639.06	Professional		$1,108.23	$1,833.86	$2,639.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $1,420.99 / $2,335.05	Professional		$221.86	$1,420.99	$2,335.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,439.26 / $1,698.94 / $1,848.69	Facility		$1,439.26	$1,698.94	$1,848.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.58 / $1,213.58 / $1,243.50	Facility		$1,213.58	$1,213.58	$1,243.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.61 / $2,074.21 / $2,550.39	Professional		$1,309.61	$2,074.21	$2,550.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,237.70 / $1,788.78 / $2,409.44	Professional		$1,237.70	$1,788.78	$2,409.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.78 / $1,912.23 / $2,670.96	Professional		$1,116.78	$1,912.23	$2,670.96