Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.18 / $2,670.20 / $20,680.40	Facility		$1,235.18	$2,670.20	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.96 / $1,235.18 / $2,428.31	Professional		$762.96	$1,235.18	$2,428.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,294.67 / $8,938.64	Facility		$55.00	$1,294.67	$8,938.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.87 / $2,383.76 / $8,532.37	Professional		$1,349.87	$2,383.76	$8,532.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.33 / $1,972.30 / $2,903.27	Professional		$1,172.33	$1,972.30	$2,903.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,146.35 / $1,895.80 / $2,393.19	Facility		$1,146.35	$1,895.80	$2,393.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.51 / $1,895.80 / $2,423.29	Professional		$1,153.51	$1,895.80	$2,423.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $1,196.94 / $2,308.47	Professional		$100.46	$1,196.94	$2,308.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.92 / $1,802.97 / $1,943.67	Facility		$1,326.92	$1,802.97	$1,943.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.67 / $1,294.67 / $1,325.76	Facility		$1,294.67	$1,294.67	$1,325.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,364.63 / $2,211.42 / $2,719.11	Professional		$1,364.63	$2,211.42	$2,719.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,320.40 / $1,901.55 / $2,568.84	Professional		$1,320.40	$1,901.55	$2,568.84
United Facility/Professional Facility Modifier Low / Median / High Price $946.46 / $1,612.00 / $5,793.00	Facility		$946.46	$1,612.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.35 / $1,887.83 / $2,772.92	Professional		$1,158.35	$1,887.83	$2,772.92