Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.10 / $1,978.79 / $2,750.14	Facility		$1,677.10	$1,978.79	$2,750.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.27 / $2,436.17 / $4,846.14	Professional		$1,686.27	$2,436.17	$4,846.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,276.55 / $11,798.93	Facility		$55.00	$1,276.55	$11,798.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.92 / $2,161.00 / $10,107.12	Professional		$1,301.92	$2,161.00	$10,107.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $898.07 / $2,003.17 / $2,432.82	Facility		$898.07	$2,003.17	$2,432.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.60 / $2,004.23 / $2,579.80	Professional		$1,172.60	$2,004.23	$2,579.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $1,422.12 / $2,311.10	Professional		$230.27	$1,422.12	$2,311.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,419.35 / $1,764.68 / $1,916.87	Facility		$1,419.35	$1,764.68	$1,916.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.55 / $1,276.55 / $1,283.26	Facility		$1,276.55	$1,276.55	$1,283.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.12 / $2,130.52 / $2,549.96	Professional		$1,352.12	$2,130.52	$2,549.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,301.92 / $1,845.98 / $2,486.48	Professional		$1,301.92	$1,845.98	$2,486.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.47 / $1,684.21 / $2,703.40	Professional		$1,224.47	$1,684.21	$2,703.40