Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.25 / $2,696.40 / $20,680.40	Facility		$1,278.25	$2,696.40	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.65 / $1,278.25 / $2,452.15	Professional		$853.65	$1,278.25	$2,452.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.51 / $9,118.81 / $17,453.22	Facility		$1,397.51	$9,118.81	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.94 / $2,595.75 / $9,580.73	Professional		$1,467.94	$2,595.75	$9,580.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.23 / $2,086.13 / $3,132.36	Professional		$1,283.23	$2,086.13	$3,132.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,262.58 / $2,075.06 / $6,447.65	Facility		$1,262.58	$2,075.06	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,956.95 / $2,744.56	Professional		$1,262.58	$1,956.95	$2,744.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $418.85 / $2,242.39	Professional		$127.57	$418.85	$2,242.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,357.57 / $1,877.34 / $2,123.23	Facility		$1,357.57	$1,877.34	$2,123.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,397.51 / $1,397.51 / $1,448.23	Facility		$1,397.51	$1,397.51	$1,448.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,490.70 / $2,399.44 / $2,970.30	Professional		$1,490.70	$2,399.44	$2,970.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,425.27 / $2,083.30 / $2,806.15	Professional		$1,425.27	$2,083.30	$2,806.15
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 $1,249.50 / $2,108.63 / $3,029.74	Professional		$1,249.50	$2,108.63	$3,029.74