Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,359.60 / $5,718.51 / $13,831.30	Facility		$2,359.60	$5,718.51	$13,831.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.48 / $2,359.60 / $3,715.11	Professional		$1,642.48	$2,359.60	$3,715.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,635.72 / $4,016.34 / $10,370.68	Facility		$2,635.72	$4,016.34	$10,370.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $4,904.84 / $18,826.58	Professional		$2,510.21	$4,904.84	$18,826.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.94 / $4,552.45 / $7,342.38	Facility		$1,486.94	$4,552.45	$7,342.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.14 / $2,921.04 / $3,848.14	Professional		$2,578.14	$2,921.04	$3,848.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,916.35 / $8,592.18	Facility		$2,510.21	$3,916.35	$8,592.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $4,439.25 / $7,765.02	Professional		$2,510.21	$4,439.25	$7,765.02
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 $2,510.21 / $2,510.21 / $3,765.32	Facility		$2,510.21	$2,510.21	$3,765.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $4,392.87 / $7,530.63	Facility		$2,510.21	$4,392.87	$7,530.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,137.76 / $3,790.42	Professional		$2,259.19	$3,137.76	$3,790.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,635.72 / $4,141.85 / $6,903.08	Facility		$2,635.72	$4,141.85	$6,903.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,776.29 / $4,885.24 / $5,836.73	Professional		$2,776.29	$4,885.24	$5,836.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $2,811.44	Professional		$1,054.29	$1,301.58	$2,811.44