Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $1,144.39 / $2,479.44	Professional		$877.00	$1,144.39	$2,479.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,338.62 / $9,366.64	Facility		$55.00	$1,338.62	$9,366.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.93 / $2,338.82 / $10,000.00	Professional		$1,380.93	$2,338.82	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.69 / $2,062.71 / $3,036.04	Professional		$1,199.69	$2,062.71	$3,036.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,137.33 / $1,940.44 / $2,449.55	Facility		$1,137.33	$1,940.44	$2,449.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.68 / $1,940.44 / $2,524.34	Professional		$1,180.68	$1,940.44	$2,524.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $363.53 / $2,189.79	Professional		$106.95	$363.53	$2,189.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,350.30 / $1,852.17 / $2,018.04	Facility		$1,350.30	$1,852.17	$2,018.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.62 / $1,338.62 / $1,376.48	Facility		$1,338.62	$1,338.62	$1,376.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.84 / $2,267.48 / $2,823.15	Professional		$1,416.84	$2,267.48	$2,823.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,365.21 / $1,973.06 / $2,667.13	Professional		$1,365.21	$1,973.06	$2,667.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.56 / $2,101.19 / $3,023.22	Professional		$1,231.56	$2,101.19	$3,023.22