Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.34 / $3,566.07 / $20,680.40	Facility		$1,563.34	$3,566.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.18 / $1,563.34 / $3,243.03	Professional		$1,102.18	$1,563.34	$3,243.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.42 / $17,744.22 / $36,111.08	Facility		$1,716.42	$17,744.22	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,777.27 / $3,033.43 / $13,288.09	Professional		$1,777.27	$3,033.43	$13,288.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.62 / $2,600.55 / $3,836.40	Professional		$1,582.62	$2,600.55	$3,836.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,557.12 / $2,715.06 / $9,370.75	Facility		$1,557.12	$2,715.06	$9,370.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,557.12 / $2,559.12 / $3,828.29	Professional		$1,557.12	$2,559.12	$3,828.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $1,418.48 / $2,867.26	Professional		$225.13	$1,418.48	$2,867.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,833.00 / $2,431.62 / $2,605.63	Facility		$1,833.00	$2,431.62	$2,605.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.42 / $1,716.42 / $1,777.27	Facility		$1,716.42	$1,716.42	$1,777.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,829.39 / $2,945.73 / $3,645.16	Professional		$1,829.39	$2,945.73	$3,645.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,750.52 / $2,556.63 / $3,443.71	Professional		$1,750.52	$2,556.63	$3,443.71
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 $1,539.30 / $2,519.71 / $3,718.15	Professional		$1,539.30	$2,519.71	$3,718.15