Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.88 / $12,626.00 / $23,856.49	Facility		$1,241.88	$12,626.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $733.41 / $1,260.26	Professional		$666.74	$733.41	$1,260.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.04 / $11,266.46 / $22,040.55	Facility		$1,108.04	$11,266.46	$22,040.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.30 / $2,150.28 / $7,817.93	Professional		$1,224.30	$2,150.28	$7,817.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $4,960.67	Facility		$734.00	$734.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.12 / $1,688.80 / $2,780.44	Professional		$891.12	$1,688.80	$2,780.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,052.04 / $1,993.53 / $4,350.34	Facility		$1,052.04	$1,993.53	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.04 / $1,978.55 / $3,678.65	Professional		$1,052.04	$1,978.55	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $626.10 / $983.88	Professional		$75.00	$626.10	$983.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.50 / $849.72 / $894.44	Facility		$691.50	$849.72	$894.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,108.04 / $1,108.04 / $2,645.21	Facility		$1,108.04	$1,108.04	$2,645.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.20 / $2,017.91 / $2,430.12	Professional		$1,260.20	$2,017.91	$2,430.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,801.11 / $11,522.14 / $22,040.55	Facility		$8,801.11	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,130.05 / $1,742.64 / $2,372.25	Professional		$1,130.05	$1,742.64	$2,372.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.33 / $1,336.81 / $2,409.77	Professional		$1,022.33	$1,336.81	$2,409.77