Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.56 / $1,347.53 / $20,680.40	Facility		$1,130.56	$1,347.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $1,225.03 / $1,459.52	Professional		$273.08	$1,225.03	$1,459.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $502.53 / $959.75 / $2,122.52	Facility		$502.53	$959.75	$2,122.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.88 / $1,984.04 / $7,162.28	Professional		$1,186.88	$1,984.04	$7,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.99 / $1,729.16 / $2,483.64	Professional		$1,164.99	$1,729.16	$2,483.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.64 / $1,432.88 / $2,378.23	Facility		$325.64	$1,432.88	$2,378.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.58 / $1,553.07 / $2,397.26	Professional		$440.58	$1,553.07	$2,397.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $1,305.04 / $1,644.18	Facility		$281.25	$1,305.04	$1,644.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.48 / $1,121.48 / $1,163.76	Facility		$1,121.48	$1,121.48	$1,163.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.73 / $1,901.06 / $2,277.66	Professional		$1,207.73	$1,901.06	$2,277.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $959.75 / $1,835.89	Facility		$630.91	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,186.88 / $1,613.26 / $2,173.02	Professional		$1,186.88	$1,613.26	$2,173.02
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.46 / $652.95 / $1,038.63	Professional		$420.46	$652.95	$1,038.63