Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.52 / $2,927.46 / $20,680.40	Facility		$1,351.52	$2,927.46	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,351.52 / $2,954.83	Professional		$1,016.00	$1,351.52	$2,954.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,558.32 / $9,442.58	Facility		$55.00	$1,558.32	$9,442.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.53 / $2,747.99 / $10,024.87	Professional		$1,650.53	$2,747.99	$10,024.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.57 / $2,388.84 / $3,486.88	Professional		$1,392.57	$2,388.84	$3,486.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,370.81 / $2,341.75 / $2,844.01	Facility		$1,370.81	$2,341.75	$2,844.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,370.81 / $2,341.75 / $2,935.22	Professional		$1,370.81	$2,341.75	$2,935.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $432.87 / $2,415.81	Professional		$112.20	$432.87	$2,415.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,668.12 / $2,196.92 / $2,328.25	Facility		$1,668.12	$2,196.92	$2,328.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.32 / $1,558.32 / $1,588.08	Facility		$1,558.32	$1,558.32	$1,588.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.53 / $2,648.99 / $3,257.12	Professional		$1,650.53	$2,648.99	$3,257.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,589.28 / $2,284.46 / $3,077.11	Professional		$1,589.28	$2,284.46	$3,077.11
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 $1,473.15 / $2,442.46 / $3,344.49	Professional		$1,473.15	$2,442.46	$3,344.49