Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.25 / $3,426.10 / $20,680.40	Facility		$1,679.25	$3,426.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.56 / $1,679.25 / $3,426.10	Professional		$1,231.56	$1,679.25	$3,426.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,777.57 / $39,518.96	Facility		$55.00	$1,777.57	$39,518.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.37 / $3,120.05 / $18,272.75	Professional		$1,861.37	$3,120.05	$18,272.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $2,622.07 / $3,929.76	Professional		$1,674.90	$2,622.07	$3,929.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,255.19 / $2,777.47 / $3,373.19	Facility		$1,255.19	$2,777.47	$3,373.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.87 / $2,834.94 / $3,613.61	Professional		$1,625.87	$2,834.94	$3,613.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $373.45 / $2,808.58	Professional		$107.11	$373.45	$2,808.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,042.32 / $2,518.32 / $2,668.32	Facility		$2,042.32	$2,518.32	$2,668.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.57 / $1,777.57 / $1,808.35	Facility		$1,777.57	$1,777.57	$1,808.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.92 / $2,992.62 / $3,589.39	Professional		$1,896.92	$2,992.62	$3,589.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,812.89 / $2,601.33 / $3,503.92	Professional		$1,812.89	$2,601.33	$3,503.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,285.77 / $2,446.00 / $5,793.00	Facility		$1,285.77	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.64 / $2,573.36 / $3,797.30	Professional		$1,696.64	$2,573.36	$3,797.30