Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $2,955.10 / $18,711.00	Facility		$1,710.00	$2,955.10	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.48 / $1,483.93 / $2,687.41	Professional		$901.48	$1,483.93	$2,687.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,570.10 / $9,378.67	Facility		$55.00	$1,570.10	$9,378.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.55 / $2,869.56 / $10,267.87	Professional		$1,616.55	$2,869.56	$10,267.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.35 / $2,370.41 / $3,470.90	Professional		$1,430.35	$2,370.41	$3,470.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,220.57 / $2,322.54 / $2,912.92	Facility		$1,220.57	$2,322.54	$2,912.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.02 / $2,322.54 / $2,920.61	Professional		$1,356.02	$2,322.54	$2,920.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,391.74 / $2,661.58	Professional		$150.54	$1,391.74	$2,661.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,442.36 / $2,054.13 / $2,336.29	Facility		$1,442.36	$2,054.13	$2,336.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,570.10 / $1,570.10 / $1,593.56	Facility		$1,570.10	$1,570.10	$1,593.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.28 / $2,658.14 / $3,268.37	Professional		$1,640.28	$2,658.14	$3,268.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,601.29 / $2,292.35 / $3,087.74	Professional		$1,601.29	$2,292.35	$3,087.74
United Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $910.00 / $4,611.00	Facility		$325.13	$910.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.52 / $2,446.00 / $3,519.31	Professional		$1,427.52	$2,446.00	$3,519.31