Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.22 / $2,898.79 / $20,680.40	Facility		$1,217.22	$2,898.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,217.22 / $2,898.79	Professional		$977.57	$1,217.22	$2,898.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,324.12 / $12,312.96	Facility		$55.00	$1,324.12	$12,312.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.45 / $2,308.50 / $8,611.28	Professional		$1,375.45	$2,308.50	$8,611.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.79 / $1,981.30 / $2,881.77	Professional		$1,225.79	$1,981.30	$2,881.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,072.29 / $2,061.17 / $2,503.26	Facility		$1,072.29	$2,061.17	$2,503.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.56 / $2,103.82 / $2,669.47	Professional		$1,206.56	$2,103.82	$2,669.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,092.94 / $2,139.80	Professional		$57.35	$1,092.94	$2,139.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,594.49 / $1,875.87 / $2,223.07	Facility		$1,594.49	$1,875.87	$2,223.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,324.12 / $1,324.12 / $1,336.27	Facility		$1,324.12	$1,324.12	$1,336.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.24 / $2,214.21 / $2,652.36	Professional		$1,405.24	$2,214.21	$2,652.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,350.43 / $1,922.24 / $2,589.19	Professional		$1,350.43	$1,922.24	$2,589.19
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 $1,212.96 / $1,774.80 / $2,809.61	Professional		$1,212.96	$1,774.80	$2,809.61