Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.25 / $3,554.36 / $20,680.40	Facility		$1,732.25	$3,554.36	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.29 / $1,732.25 / $3,554.36	Professional		$1,267.29	$1,732.25	$3,554.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,840.99 / $32,980.50	Facility		$55.00	$1,840.99	$32,980.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,922.52 / $3,227.14 / $11,994.30	Professional		$1,922.52	$3,227.14	$11,994.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.85 / $2,711.72 / $4,055.80	Professional		$1,816.85	$2,711.72	$4,055.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,294.86 / $2,873.17 / $3,489.42	Facility		$1,294.86	$2,873.17	$3,489.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,681.89 / $2,927.76 / $3,745.51	Professional		$1,681.89	$2,927.76	$3,745.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $381.77 / $2,935.67	Professional		$107.11	$381.77	$2,935.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,970.71 / $2,586.36 / $2,738.29	Facility		$1,970.71	$2,586.36	$2,738.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.99 / $1,840.99 / $1,867.76	Facility		$1,840.99	$1,840.99	$1,867.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,964.44 / $3,095.34 / $3,707.32	Professional		$1,964.44	$3,095.34	$3,707.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,877.57 / $2,686.79 / $3,619.04	Professional		$1,877.57	$2,686.79	$3,619.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.03 / $2,446.00 / $5,793.00	Facility		$1,321.03	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.50 / $2,477.52 / $3,956.04	Professional		$1,741.50	$2,477.52	$3,956.04