Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.32 / $3,299.24 / $20,680.40	Facility		$1,373.32	$3,299.24	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.82 / $1,373.32 / $3,000.37	Professional		$1,054.82	$1,373.32	$3,000.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,572.82 / $12,670.20	Facility		$55.00	$1,572.82	$12,670.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.26 / $2,900.99 / $10,459.28	Professional		$1,704.26	$2,900.99	$10,459.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.13 / $2,421.92 / $3,647.83	Professional		$1,446.13	$2,421.92	$3,647.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,378.42 / $2,338.71 / $2,952.31	Facility		$1,378.42	$2,338.71	$2,952.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.01 / $2,352.41 / $2,976.38	Professional		$1,423.01	$2,352.41	$2,976.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $449.57 / $2,593.03	Professional		$137.85	$449.57	$2,593.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,638.07 / $2,228.30 / $2,427.41	Facility		$1,638.07	$2,228.30	$2,427.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,572.82 / $1,572.82 / $1,655.71	Facility		$1,572.82	$1,572.82	$1,655.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,704.26 / $2,708.69 / $3,395.84	Professional		$1,704.26	$2,708.69	$3,395.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,356.69 / $3,208.17	Professional		$1,604.06	$2,356.69	$3,208.17
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 $1,481.93 / $2,321.14 / $3,386.00	Professional		$1,481.93	$2,321.14	$3,386.00