Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.48 / $4,973.88 / $20,680.40	Facility		$2,471.48	$4,973.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.46 / $2,471.48 / $4,973.88	Professional		$1,734.46	$2,471.48	$4,973.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,536.80 / $16,595.73 / $31,745.76	Facility		$2,536.80	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.28 / $4,694.47 / $16,250.48	Professional		$2,731.28	$4,694.47	$16,250.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,341.83 / $3,929.81 / $5,720.23	Professional		$2,341.83	$3,929.81	$5,720.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,365.44 / $4,018.20 / $11,234.92	Facility		$2,365.44	$4,018.20	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,365.44 / $3,887.96 / $5,203.55	Professional		$2,365.44	$3,887.96	$5,203.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $668.09 / $4,067.07	Professional		$145.49	$668.09	$4,067.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,791.69 / $3,638.52 / $3,808.00	Facility		$2,791.69	$3,638.52	$3,808.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.80 / $2,536.80 / $2,585.25	Facility		$2,536.80	$2,536.80	$2,585.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,731.28 / $4,312.33 / $5,302.31	Professional		$2,731.28	$4,312.33	$5,302.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,587.19 / $3,718.91 / $5,009.27	Professional		$2,587.19	$3,718.91	$5,009.27
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 $2,330.61 / $3,700.73 / $5,460.87	Professional		$2,330.61	$3,700.73	$5,460.87