Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.40 / $6,470.00 / $22,024.00	Facility		$2,064.40	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,057.17 / $8,057.17 / $8,057.17	Professional		$8,057.17	$8,057.17	$8,057.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,992.98 / $10,846.90 / $20,996.48	Facility		$2,992.98	$10,846.90	$20,996.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $316.16 / $517.35 / $4,098.13	Professional		$316.16	$517.35	$4,098.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $6,210.31	Facility		$500.00	$870.49	$6,210.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,135.90 / $9,658.16 / $28,693.48	Facility		$3,135.90	$9,658.16	$28,693.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,648.96 / $9,268.00 / $79,999.20	Facility		$3,648.96	$9,268.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,874.21 / $2,775.80 / $3,965.17	Facility		$1,874.21	$2,775.80	$3,965.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,998.47 / $10,853.10 / $20,760.75	Facility		$7,998.47	$10,853.10	$20,760.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,821.39 / $2,832.04 / $4,098.13	Professional		$1,821.39	$2,832.04	$4,098.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.26 / $2,542.00 / $5,519.00	Facility		$1,173.26	$2,542.00	$5,519.00