Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.15 / $6,470.00 / $20,680.40	Facility		$1,383.15	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.33 / $978.83 / $2,027.47	Professional		$745.33	$978.83	$2,027.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,252.64 / $6,622.22 / $14,645.34	Facility		$1,252.64	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,587.51 / $9,933.33 / $19,217.09	Facility	50	$7,587.51	$9,933.33	$19,217.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.67 / $2,206.73 / $7,783.73	Professional		$1,257.67	$2,206.73	$7,783.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.42 / $1,473.23 / $2,821.63	Professional		$927.42	$1,473.23	$2,821.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,064.68 / $1,310.97 / $2,490.57	Facility		$1,064.68	$1,310.97	$2,490.57
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.68 / $1,353.45 / $2,490.57	Professional		$1,064.68	$1,353.45	$2,490.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $555.45 / $1,796.88	Professional		$80.21	$555.45	$1,796.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,350.79 / $1,770.14 / $1,862.75	Facility		$1,350.79	$1,770.14	$1,862.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.77 / $1,210.86 / $1,252.64	Facility		$1,039.77	$1,210.86	$1,252.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.36 / $2,065.08 / $2,486.36	Professional		$1,289.36	$2,065.08	$2,486.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,248.20 / $9,927.65 / $19,001.34	Facility	50	$7,248.20	$9,927.65	$19,001.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,234.93 / $1,796.94 / $2,373.71	Professional		$1,234.93	$1,796.94	$2,373.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.40 / $1,394.44 / $2,600.10	Professional		$1,052.40	$1,394.44	$2,600.10