Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.70 / $2,828.13 / $20,680.40	Facility		$1,387.70	$2,828.13	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.08 / $1,387.70 / $2,828.13	Professional		$968.08	$1,387.70	$2,828.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,473.16 / $20,608.48	Facility		$55.00	$1,473.16	$20,608.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.25 / $2,601.28 / $9,839.85	Professional		$1,539.25	$2,601.28	$9,839.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.20 / $2,219.40 / $3,332.47	Professional		$1,463.20	$2,219.40	$3,332.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,045.63 / $2,284.96 / $2,809.67	Facility		$1,045.63	$2,284.96	$2,809.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.26 / $2,284.96 / $2,939.30	Professional		$1,354.26	$2,284.96	$2,939.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $326.15 / $2,492.72	Professional		$78.89	$326.15	$2,492.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,573.10 / $2,118.54 / $2,244.50	Facility		$1,573.10	$2,118.54	$2,244.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.16 / $1,473.16 / $1,530.95	Facility		$1,473.16	$1,473.16	$1,530.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.84 / $2,488.90 / $3,038.79	Professional		$1,575.84	$2,488.90	$3,038.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,502.42 / $2,179.11 / $2,966.43	Professional		$1,502.42	$2,179.11	$2,966.43
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 $1,402.44 / $2,140.21 / $3,169.98	Professional		$1,402.44	$2,140.21	$3,169.98