Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.36 / $5,116.62 / $18,800.00	Facility		$1,390.36	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $980.91 / $2,026.40	Professional		$722.22	$980.91	$2,026.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $2,000.00 / $6,241.90	Facility		$1,012.00	$2,000.00	$6,241.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.11 / $1,864.51 / $6,504.15	Professional		$1,131.11	$1,864.51	$6,504.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.44 / $1,564.50 / $2,304.78	Professional		$951.44	$1,564.50	$2,304.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $936.22 / $1,599.35 / $1,942.38	Facility		$936.22	$1,599.35	$1,942.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.22 / $1,599.35 / $1,958.88	Professional		$936.22	$1,599.35	$1,958.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $917.99 / $1,758.38	Professional		$100.07	$917.99	$1,758.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.11 / $1,476.01 / $1,528.94	Facility		$1,121.11	$1,476.01	$1,528.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $1,042.86 / $1,964.09	Facility		$1,012.00	$1,042.86	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.95 / $1,739.57 / $2,138.92	Professional		$1,099.95	$1,739.57	$2,138.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,032.10 / $1,499.14 / $2,020.71	Professional		$1,032.10	$1,499.14	$2,020.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $969.32 / $1,542.09 / $2,176.25	Professional		$969.32	$1,542.09	$2,176.25