Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $3,714.45 / $5,088.58	Facility		$2,147.08	$3,714.45	$5,088.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,046.04 / $2,147.08 / $2,515.87	Professional		$2,046.04	$2,147.08	$2,515.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.97 / $2,399.67 / $9,472.43	Facility		$1,849.97	$2,399.67	$9,472.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,159.71 / $2,399.67 / $11,366.91	Professional		$2,159.71	$2,399.67	$11,366.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,873.65 / $2,147.08 / $4,294.16	Facility		$1,873.65	$2,147.08	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.14 / $763.01 / $1,034.06	Facility		$392.14	$763.01	$1,034.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $764.61 / $1,674.62	Professional		$392.14	$764.61	$1,674.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $2,639.64	Professional		$75.00	$75.00	$2,639.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Facility		$2,399.67	$2,399.67	$2,399.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Professional		$2,399.67	$2,399.67	$2,399.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Facility		$2,399.67	$2,399.67	$2,399.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,279.69 / $2,399.67 / $2,399.67	Professional		$2,279.69	$2,399.67	$2,399.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,525.98	Professional		$2,104.98	$2,104.98	$2,525.98