Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,791.22 / $6,088.90 / $20,680.40	Facility		$2,791.22	$6,088.90	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,956.08 / $2,791.22 / $5,539.59	Professional		$1,956.08	$2,791.22	$5,539.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,866.13 / $16,595.73 / $31,745.76	Facility		$2,866.13	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,075.45 / $5,301.21 / $18,342.75	Professional		$3,075.45	$5,301.21	$18,342.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,606.64 / $4,441.41 / $6,470.40	Professional		$2,606.64	$4,441.41	$6,470.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,628.10 / $4,469.43 / $11,234.92	Facility		$2,628.10	$4,469.43	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,628.10 / $4,341.28 / $5,795.37	Professional		$2,628.10	$4,341.28	$5,795.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $833.63 / $4,631.45	Professional		$146.40	$833.63	$4,631.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,040.94 / $4,076.95 / $4,302.35	Facility		$3,040.94	$4,076.95	$4,302.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.13 / $2,866.13 / $2,917.49	Facility		$2,866.13	$2,866.13	$2,917.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,075.45 / $4,866.52 / $5,983.72	Professional		$3,075.45	$4,866.52	$5,983.72
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 $2,923.07 / $4,196.84 / $5,653.03	Professional		$2,923.07	$4,196.84	$5,653.03
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 $2,616.55 / $4,259.50 / $6,166.66	Professional		$2,616.55	$4,259.50	$6,166.66