Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.77 / $4,500.00 / $22,024.00	Facility		$1,208.77	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.39 / $1,208.77 / $1,740.60	Professional		$872.39	$1,208.77	$1,740.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,290.14 / $12,133.00	Facility		$55.00	$1,290.14	$12,133.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.16 / $2,255.19 / $8,413.04	Professional		$1,334.16	$2,255.19	$8,413.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,907.30 / $2,843.28	Professional		$1,215.71	$1,907.30	$2,843.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,173.04 / $2,045.36 / $2,515.23	Facility		$1,173.04	$2,045.36	$2,515.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.00 / $2,045.36 / $2,515.23	Professional		$1,259.00	$2,045.36	$2,515.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $1,413.84 / $2,164.59	Professional		$227.37	$1,413.84	$2,164.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,260.52 / $1,819.93 / $1,923.57	Facility		$1,260.52	$1,819.93	$1,923.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.14 / $1,290.14 / $1,312.05	Facility		$1,290.14	$1,290.14	$1,312.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.52 / $2,178.46 / $2,607.33	Professional		$1,350.52	$2,178.46	$2,607.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,315.78 / $1,887.39 / $2,542.27	Professional		$1,315.78	$1,887.39	$2,542.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.57 / $1,708.80 / $2,764.23	Professional		$1,244.57	$1,708.80	$2,764.23