Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.90 / $3,537.86 / $20,680.40	Facility		$1,509.90	$3,537.86	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.98 / $1,509.90 / $3,217.38	Professional		$1,042.98	$1,509.90	$3,217.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,566.47 / $11,002.00	Facility		$55.00	$1,566.47	$11,002.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.28 / $2,881.14 / $10,025.25	Professional		$1,656.28	$2,881.14	$10,025.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.58 / $2,413.21 / $3,548.61	Professional		$1,476.58	$2,413.21	$3,548.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,395.23 / $2,483.12 / $3,015.71	Facility		$1,395.23	$2,483.12	$3,015.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.57 / $2,483.12 / $3,015.71	Professional		$1,453.57	$2,483.12	$3,015.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,426.55 / $2,757.68	Professional		$150.69	$1,426.55	$2,757.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,734.51 / $2,253.21 / $2,398.60	Facility		$1,734.51	$2,253.21	$2,398.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,566.47 / $1,566.47 / $1,609.10	Facility		$1,566.47	$1,566.47	$1,609.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.28 / $2,684.06 / $3,300.23	Professional		$1,656.28	$2,684.06	$3,300.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,597.60 / $2,314.69 / $3,117.85	Professional		$1,597.60	$2,314.69	$3,117.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,612.00 / $5,793.00	Facility		$1,120.00	$1,612.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.69 / $2,395.41 / $3,362.84	Professional		$1,505.69	$2,395.41	$3,362.84