Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $3,278.18 / $20,680.40	Facility		$1,548.05	$3,278.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.40 / $1,548.05 / $3,278.18	Professional		$1,256.40	$1,548.05	$3,278.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,690.14 / $15,693.59	Facility		$55.00	$1,690.14	$15,693.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.59 / $2,946.32 / $10,989.98	Professional		$1,754.59	$2,946.32	$10,989.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.77 / $2,467.96 / $3,669.20	Professional		$1,573.77	$2,467.96	$3,669.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,251.78 / $2,646.97 / $3,214.70	Facility		$1,251.78	$2,646.97	$3,214.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.48 / $2,681.44 / $3,420.91	Professional		$1,549.48	$2,681.44	$3,420.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $1,013.66 / $2,699.52	Professional		$103.05	$1,013.66	$2,699.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.75 / $2,351.94 / $2,537.08	Facility		$1,905.75	$2,351.94	$2,537.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.14 / $1,690.14 / $1,704.61	Facility		$1,690.14	$1,690.14	$1,704.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,793.49 / $2,825.98 / $3,383.48	Professional		$1,793.49	$2,825.98	$3,383.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,723.72 / $2,452.10 / $3,302.91	Professional		$1,723.72	$2,452.10	$3,302.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,210.41 / $2,446.00 / $5,793.00	Facility		$1,210.41	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.45 / $2,479.67 / $3,585.87	Professional		$1,628.45	$2,479.67	$3,585.87