Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.36 / $3,671.15 / $20,680.40	Facility		$1,629.36	$3,671.15	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.90 / $1,629.36 / $3,338.60	Professional		$1,123.90	$1,629.36	$3,338.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,688.33 / $10,372.25	Facility		$55.00	$1,688.33	$10,372.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.23 / $3,074.87 / $10,797.75	Professional		$1,784.23	$3,074.87	$10,797.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.93 / $2,600.87 / $3,823.93	Professional		$1,594.93	$2,600.87	$3,823.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,507.16 / $2,681.77 / $3,256.96	Facility		$1,507.16	$2,681.77	$3,256.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,569.85 / $2,681.77 / $3,256.96	Professional		$1,569.85	$2,681.77	$3,256.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,525.36 / $2,949.75	Professional		$150.40	$1,525.36	$2,949.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,811.53 / $2,474.98 / $2,541.31	Facility		$1,811.53	$2,474.98	$2,541.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,688.33 / $1,688.33 / $1,733.40	Facility		$1,688.33	$1,688.33	$1,733.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,784.23 / $2,891.40 / $3,555.18	Professional		$1,784.23	$2,891.40	$3,555.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,721.87 / $2,493.52 / $3,358.70	Professional		$1,721.87	$2,493.52	$3,358.70
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,625.36 / $2,646.25 / $3,623.53	Professional		$1,625.36	$2,646.25	$3,623.53