Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.73 / $6,034.96 / $12,713.30	Facility		$1,821.73	$6,034.96	$12,713.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.95 / $1,821.73 / $1,879.87	Professional		$1,220.95	$1,821.73	$1,879.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,034.91 / $3,100.82 / $6,783.04	Facility		$2,034.91	$3,100.82	$6,783.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.21 / $4,027.21 / $14,535.08	Professional		$1,744.21	$4,027.21	$14,535.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,015.54 / $4,119.63 / $5,004.20	Facility		$2,015.54	$4,119.63	$5,004.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,744.21 / $1,938.01 / $4,845.02	Facility		$1,744.21	$1,938.01	$4,845.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.21 / $1,938.01 / $4,845.02	Professional		$1,744.21	$1,938.01	$4,845.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,744.21 / $2,131.81 / $3,391.52	Facility		$1,744.21	$2,131.81	$3,391.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $3,391.52 / $5,814.03	Facility		$1,938.01	$3,391.52	$5,814.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,744.21 / $2,422.51 / $2,926.40	Professional		$1,744.21	$2,422.51	$2,926.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,034.91 / $3,100.82 / $5,329.53	Facility		$2,034.91	$3,100.82	$5,329.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,143.44 / $3,771.35 / $4,506.22	Professional		$2,143.44	$3,771.35	$4,506.22
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $813.96 / $2,170.57	Professional		$813.96	$813.96	$2,170.57