Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.40 / $3,925.18 / $18,711.00	Facility		$1,517.40	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.17 / $1,124.77 / $2,163.51	Professional		$766.17	$1,124.77	$2,163.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,130.24 / $15,476.96	Facility		$55.00	$1,130.24	$15,476.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.73 / $2,075.83 / $12,630.10	Professional		$1,207.73	$2,075.83	$12,630.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.88 / $1,707.44 / $2,502.52	Professional		$1,080.88	$1,707.44	$2,502.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,026.64 / $1,758.85 / $2,136.09	Facility		$1,026.64	$1,758.85	$2,136.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.58 / $1,758.85 / $2,136.09	Professional		$1,029.58	$1,758.85	$2,136.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $1,000.34 / $1,926.97	Professional		$100.07	$1,000.34	$1,926.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,262.24 / $1,602.58 / $1,686.39	Facility		$1,262.24	$1,602.58	$1,686.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.24 / $1,130.24 / $1,150.27	Facility		$1,130.24	$1,130.24	$1,150.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.73 / $1,918.71 / $2,359.17	Professional		$1,207.73	$1,918.71	$2,359.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,152.69 / $1,654.67 / $2,228.80	Professional		$1,152.69	$1,654.67	$2,228.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.50 / $1,663.28 / $2,414.71	Professional		$1,073.50	$1,663.28	$2,414.71