Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.23 / $3,413.58 / $20,680.40	Facility		$1,566.23	$3,413.58	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.70 / $1,566.23 / $3,104.36	Professional		$1,032.70	$1,566.23	$3,104.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,657.53 / $11,317.44	Facility		$55.00	$1,657.53	$11,317.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.48 / $3,026.72 / $10,848.83	Professional		$1,732.48	$3,026.72	$10,848.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.47 / $2,499.80 / $3,664.19	Professional		$1,512.47	$2,499.80	$3,664.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,462.06 / $2,446.13 / $3,087.91	Facility		$1,462.06	$2,446.13	$3,087.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,488.37 / $2,465.42 / $3,087.91	Professional		$1,488.37	$2,465.42	$3,087.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,491.06 / $2,865.06	Professional		$150.54	$1,491.06	$2,865.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,716.07 / $2,327.58 / $2,467.61	Facility		$1,716.07	$2,327.58	$2,467.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.53 / $1,657.53 / $1,683.13	Facility		$1,657.53	$1,657.53	$1,683.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,732.48 / $2,807.55 / $3,452.08	Professional		$1,732.48	$2,807.55	$3,452.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,690.46 / $2,421.21 / $3,261.30	Professional		$1,690.46	$2,421.21	$3,261.30
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 $1,532.29 / $2,394.08 / $3,532.76	Professional		$1,532.29	$2,394.08	$3,532.76