Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.99 / $3,278.46 / $20,680.40	Facility		$1,607.99	$3,278.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.18 / $1,607.99 / $3,278.46	Professional		$1,152.18	$1,607.99	$3,278.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,701.92 / $23,296.16	Facility		$55.00	$1,701.92	$23,296.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.82 / $2,987.57 / $11,142.30	Professional		$1,782.82	$2,987.57	$11,142.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,510.92 / $3,765.02	Professional		$1,674.90	$2,510.92	$3,765.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,200.32 / $2,655.67 / $3,225.27	Facility		$1,200.32	$2,655.67	$3,225.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,554.57 / $2,681.52 / $3,461.64	Professional		$1,554.57	$2,681.52	$3,461.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,448.28 / $2,814.33	Professional		$148.16	$1,448.28	$2,814.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,920.31 / $2,412.53 / $2,554.76	Facility		$1,920.31	$2,412.53	$2,554.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,701.92 / $1,701.92 / $1,732.03	Facility		$1,701.92	$1,701.92	$1,732.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,817.02 / $2,865.55 / $3,437.91	Professional		$1,817.02	$2,865.55	$3,437.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,735.73 / $2,491.55 / $3,356.04	Professional		$1,735.73	$2,491.55	$3,356.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,231.43 / $2,446.00 / $5,793.00	Facility		$1,231.43	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.61 / $2,472.31 / $3,653.11	Professional		$1,623.61	$2,472.31	$3,653.11