Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,942.81 / $4,030.69 / $20,680.40	Facility		$1,942.81	$4,030.69	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.06 / $1,942.81 / $4,030.69	Professional		$1,443.06	$1,942.81	$4,030.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,071.57 / $28,068.64	Facility		$55.00	$2,071.57	$28,068.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.91 / $3,616.65 / $13,373.63	Professional		$2,146.91	$3,616.65	$13,373.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,938.98 / $3,048.37 / $4,525.82	Professional		$1,938.98	$3,048.37	$4,525.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,467.85 / $3,260.32 / $3,959.60	Facility		$1,467.85	$3,260.32	$3,959.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,908.52 / $3,294.73 / $4,245.14	Professional		$1,908.52	$3,294.73	$4,245.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $438.25 / $3,239.40	Professional		$120.12	$438.25	$3,239.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,218.04 / $2,907.70 / $3,095.36	Facility		$2,218.04	$2,907.70	$3,095.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,071.57 / $2,071.57 / $2,085.75	Facility		$2,071.57	$2,071.57	$2,085.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,201.54 / $3,468.94 / $4,151.88	Professional		$2,201.54	$3,468.94	$4,151.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,112.73 / $3,000.38 / $4,041.42	Professional		$2,112.73	$3,000.38	$4,041.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,446.00 / $5,793.00	Facility		$1,323.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,917.50 / $2,708.39 / $4,401.72	Professional		$1,917.50	$2,708.39	$4,401.72