Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.45 / $3,319.84 / $20,680.40	Facility		$1,472.45	$3,319.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.16 / $1,472.45 / $2,987.12	Professional		$1,086.16	$1,472.45	$2,987.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,527.97 / $10,733.36	Facility		$55.00	$1,527.97	$10,733.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,639.93 / $2,809.17 / $10,108.39	Professional		$1,639.93	$2,809.17	$10,108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.21 / $2,353.44 / $3,462.20	Professional		$1,443.21	$2,353.44	$3,462.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,364.07 / $2,426.57 / $2,947.03	Facility		$1,364.07	$2,426.57	$2,947.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.46 / $2,426.57 / $2,947.03	Professional		$1,420.46	$2,426.57	$2,947.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,408.57 / $2,697.51	Professional		$150.40	$1,408.57	$2,697.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,632.68 / $2,199.61 / $2,301.44	Facility		$1,632.68	$2,199.61	$2,301.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.97 / $1,527.97 / $1,569.80	Facility		$1,527.97	$1,527.97	$1,569.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.82 / $2,618.50 / $3,219.63	Professional		$1,615.82	$2,618.50	$3,219.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,558.33 / $2,258.17 / $3,041.69	Professional		$1,558.33	$2,258.17	$3,041.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.50 / $2,222.01 / $3,278.84	Professional		$1,469.50	$2,222.01	$3,278.84