Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.35 / $3,458.64 / $20,680.40	Facility		$1,609.35	$3,458.64	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $1,609.35 / $3,458.64	Professional		$1,025.69	$1,609.35	$3,458.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,707.36 / $23,270.56	Facility		$55.00	$1,707.36	$23,270.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.35 / $2,992.33 / $11,143.73	Professional		$1,782.35	$2,992.33	$11,143.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,515.25 / $3,756.95	Professional		$1,674.90	$2,515.25	$3,756.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,228.83 / $2,668.00 / $3,240.24	Facility		$1,228.83	$2,668.00	$3,240.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,561.79 / $2,723.20 / $3,480.98	Professional		$1,561.79	$2,723.20	$3,480.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $1,477.80 / $2,850.30	Professional		$148.16	$1,477.80	$2,850.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,897.30 / $2,405.13 / $2,623.72	Facility		$1,897.30	$2,405.13	$2,623.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,707.36 / $1,707.36 / $1,731.57	Facility		$1,707.36	$1,707.36	$1,731.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,821.50 / $2,870.11 / $3,437.00	Professional		$1,821.50	$2,870.11	$3,437.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,741.28 / $2,490.89 / $3,355.16	Professional		$1,741.28	$2,490.89	$3,355.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,229.49 / $2,446.00 / $5,793.00	Facility		$1,229.49	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.50 / $2,277.69 / $3,641.88	Professional		$1,616.50	$2,277.69	$3,641.88