Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $24,827.00	Facility		$1,733.00	$5,116.62	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.31 / $1,331.08 / $2,815.35	Professional		$977.31	$1,331.08	$2,815.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,373.04 / $8,449.62	Facility		$55.00	$1,373.04	$8,449.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.74 / $2,527.92 / $9,256.39	Professional		$1,475.74	$2,527.92	$9,256.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.67 / $2,118.38 / $3,116.20	Professional		$1,295.67	$2,118.38	$3,116.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,231.64 / $2,178.62 / $2,645.90	Facility		$1,231.64	$2,178.62	$2,645.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.32 / $2,178.62 / $2,645.90	Professional		$1,275.32	$2,178.62	$2,645.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,263.35 / $2,407.54	Professional		$150.54	$1,263.35	$2,407.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,495.40 / $2,018.04 / $2,070.30	Facility		$1,495.40	$2,018.04	$2,070.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,373.04 / $1,373.04 / $1,412.13	Facility		$1,373.04	$1,373.04	$1,412.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.54 / $2,355.51 / $2,896.26	Professional		$1,453.54	$2,355.51	$2,896.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,400.32 / $2,031.37 / $2,736.20	Professional		$1,400.32	$2,031.37	$2,736.20
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.28 / $2,067.23 / $2,950.56	Professional		$1,325.28	$2,067.23	$2,950.56