Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.96 / $5,116.62 / $18,800.00	Facility		$1,679.96	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.75 / $1,181.55 / $2,414.03	Professional		$809.75	$1,181.55	$2,414.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,224.91 / $2,000.00 / $8,623.04	Facility		$1,224.91	$2,000.00	$8,623.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.83 / $2,254.94 / $7,859.18	Professional		$1,297.83	$2,254.94	$7,859.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,890.37 / $2,783.58	Professional		$1,150.95	$1,890.37	$2,783.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,093.06 / $1,935.02 / $2,350.05	Facility		$1,093.06	$1,935.02	$2,350.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.72 / $1,935.02 / $2,350.05	Professional		$1,132.72	$1,935.02	$2,350.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $286.02 / $2,096.92	Professional		$74.23	$286.02	$2,096.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,322.58 / $1,784.21 / $1,848.53	Facility		$1,322.58	$1,784.21	$1,848.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.91 / $1,260.85 / $1,470.05	Facility		$1,224.91	$1,260.85	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.83 / $2,103.19 / $2,586.01	Professional		$1,297.83	$2,103.19	$2,586.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,249.25 / $1,813.06 / $2,443.09	Professional		$1,249.25	$1,813.06	$2,443.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.73 / $1,873.42 / $2,636.38	Professional		$1,171.73	$1,873.42	$2,636.38