Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,878.42 / $4,435.14 / $20,680.40	Facility		$1,878.42	$4,435.14	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.90 / $1,878.42 / $4,033.38	Professional		$1,255.90	$1,878.42	$4,033.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,990.94 / $13,566.72	Facility		$55.00	$1,990.94	$13,566.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.29 / $3,633.89 / $13,008.15	Professional		$2,077.29	$3,633.89	$13,008.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.53 / $2,999.08 / $4,390.72	Professional		$1,815.53	$2,999.08	$4,390.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,752.34 / $2,936.47 / $3,706.90	Facility		$1,752.34	$2,936.47	$3,706.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,786.72 / $2,959.63 / $3,706.90	Professional		$1,786.72	$2,959.63	$3,706.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $411.68 / $3,262.14	Professional		$105.68	$411.68	$3,262.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,174.64 / $2,814.18 / $3,073.29	Facility		$2,174.64	$2,814.18	$3,073.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,990.94 / $1,990.94 / $2,018.11	Facility		$1,990.94	$1,990.94	$2,018.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,077.29 / $3,366.32 / $4,139.12	Professional		$2,077.29	$3,366.32	$4,139.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,030.49 / $2,903.08 / $3,910.37	Professional		$2,030.49	$2,903.08	$3,910.37
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 $1,845.80 / $2,678.00 / $4,241.43	Professional		$1,845.80	$2,678.00	$4,241.43