Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.08 / $5,116.62 / $20,680.40	Facility		$1,499.08	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.06 / $1,056.45 / $2,181.89	Professional		$710.06	$1,056.45	$2,181.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.73 / $2,000.00 / $6,731.48	Facility		$1,091.73	$2,000.00	$6,731.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.07 / $1,914.90 / $7,254.95	Professional		$1,150.07	$1,914.90	$7,254.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.40 / $1,686.82 / $2,484.71	Professional		$1,027.40	$1,686.82	$2,484.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $982.36 / $1,727.67 / $2,098.23	Facility		$982.36	$1,727.67	$2,098.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.34 / $1,727.67 / $2,098.23	Professional		$1,011.34	$1,727.67	$2,098.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $987.28 / $1,929.25	Professional		$100.45	$987.28	$1,929.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,176.98 / $1,594.60 / $1,648.87	Facility		$1,176.98	$1,594.60	$1,648.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,091.73 / $1,124.68 / $1,964.09	Facility		$1,091.73	$1,124.68	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.65 / $1,876.02 / $2,306.69	Professional		$1,157.65	$1,876.02	$2,306.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,113.42 / $1,616.86 / $2,179.21	Professional		$1,113.42	$1,616.86	$2,179.21
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 $1,071.00 / $1,893.76 / $2,356.19	Professional		$1,071.00	$1,893.76	$2,356.19