Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,640.62 / $5,784.84 / $21,340.20	Facility		$3,640.62	$5,784.84	$21,340.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,640.62 / $3,873.00 / $5,165.04	Professional		$3,640.62	$3,873.00	$5,165.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $16,000.91	Facility		$4,066.65	$6,196.80	$16,000.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,380.38 / $7,567.14 / $29,047.50	Professional		$3,380.38	$7,567.14	$29,047.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,900.54 / $8,232.82 / $10,069.79	Facility		$3,900.54	$8,232.82	$10,069.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.72 / $4,342.78 / $5,283.78	Professional		$1,957.72	$4,342.78	$5,283.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,371.56 / $4,841.25 / $11,980.10	Facility		$3,371.56	$4,841.25	$11,980.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,480.39 / $5,538.05 / $10,507.43	Professional		$3,480.39	$5,538.05	$10,507.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $8,133.30	Facility		$3,873.00	$3,873.00	$8,133.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $6,777.75 / $11,619.00	Facility		$3,873.00	$6,777.75	$11,619.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,841.25 / $5,848.23	Professional		$3,485.70	$4,841.25	$5,848.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $6,196.80 / $10,650.75	Facility		$4,066.65	$6,196.80	$10,650.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,283.54 / $7,537.31 / $9,005.49	Professional		$4,283.54	$7,537.31	$9,005.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.63 / $1,626.66 / $4,337.76	Professional		$1,520.63	$1,626.66	$4,337.76