Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.40 / $3,293.01 / $5,231.60	Facility		$1,090.40	$3,293.01	$5,231.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.19 / $580.00 / $1,740.00	Professional		$330.19	$580.00	$1,740.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $4,792.42	Facility		$1,218.00	$2,030.00	$4,792.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,199.16 / $8,700.00	Professional		$1,044.00	$2,199.16	$8,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.40 / $1,869.92 / $2,995.27	Facility		$390.40	$1,869.92	$2,995.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.28 / $1,300.84 / $1,582.72	Professional		$613.28	$1,300.84	$1,582.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,450.00 / $3,310.61	Facility		$1,144.52	$1,450.00	$3,310.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,705.20 / $3,210.13	Professional		$1,160.00	$1,705.20	$3,210.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,135.64 / $1,230.95	Professional		$75.00	$1,135.64	$1,230.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $2,436.00	Facility		$1,160.00	$1,160.00	$2,436.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $2,088.00 / $3,480.00	Facility		$1,160.00	$2,088.00	$3,480.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,450.00 / $1,751.60	Professional		$1,044.00	$1,450.00	$1,751.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,903.56 / $3,190.00	Facility		$1,218.00	$1,903.56	$3,190.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,282.96 / $2,257.42 / $2,697.39	Professional		$1,282.96	$2,257.42	$2,697.39
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,299.20	Professional		$487.20	$487.20	$1,299.20