Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.20 / $4,624.54 / $11,185.30	Facility		$1,908.20	$4,624.54	$11,185.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,908.20 / $3,004.40	Professional		$1,320.80	$1,908.20	$3,004.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $3,248.00 / $8,386.74	Facility		$2,131.50	$3,248.00	$8,386.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $3,965.98 / $15,225.00	Professional		$1,827.00	$3,965.98	$15,225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,111.19 / $4,315.16 / $5,241.71	Facility		$2,111.19	$4,315.16	$5,241.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.41 / $2,361.91 / $2,873.38	Professional		$2,052.41	$2,361.91	$2,873.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,511.58 / $6,278.95	Facility		$2,030.00	$2,511.58	$6,278.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $3,451.00 / $6,278.95	Professional		$2,030.00	$3,451.00	$6,278.95
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 $2,030.00 / $2,030.00 / $3,045.00	Facility		$2,030.00	$2,030.00	$3,045.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $3,552.50 / $6,090.00	Facility		$2,030.00	$3,552.50	$6,090.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,537.50 / $3,065.30	Professional		$1,827.00	$2,537.50	$3,065.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $3,248.00 / $5,582.50	Facility		$2,131.50	$3,248.00	$5,582.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,245.17 / $3,950.49 / $4,719.85	Professional		$2,245.17	$3,950.49	$4,719.85
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $2,273.60	Professional		$852.60	$852.60	$2,273.60