Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $5,042.17 / $6,907.48	Facility		$2,914.55	$5,042.17	$6,907.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,845.96 / $2,914.55 / $3,130.56	Professional		$2,845.96	$2,914.55	$3,130.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,028.84 / $3,257.44 / $15,144.20	Facility		$3,028.84	$3,257.44	$15,144.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.70 / $3,257.44 / $15,429.96	Professional		$2,931.70	$3,257.44	$15,429.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $7,344.94	Facility		$2,914.55	$2,914.55	$7,344.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,894.16 / $7,464.13 / $12,989.03	Facility		$2,894.16	$7,464.13	$12,989.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,894.16 / $7,226.74 / $9,406.95	Professional		$2,894.16	$7,226.74	$9,406.95
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 $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 $3,257.44 / $3,257.44 / $3,257.44	Facility		$3,257.44	$3,257.44	$3,257.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,257.44 / $3,257.44 / $3,257.44	Professional		$3,257.44	$3,257.44	$3,257.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,028.84 / $3,257.44 / $4,543.26	Facility		$3,028.84	$3,257.44	$4,543.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,094.57 / $3,257.44 / $3,257.44	Professional		$3,094.57	$3,257.44	$3,257.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,428.88	Professional		$2,857.40	$2,857.40	$3,428.88