Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.41 / $2,107.37 / $3,194.88	Facility		$1,238.41	$2,107.37	$3,194.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,238.41 / $2,905.47	Professional		$910.65	$1,238.41	$2,905.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,535.22 / $8,033.82	Facility		$55.00	$1,535.22	$8,033.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.97 / $2,846.90 / $10,482.75	Professional		$1,640.97	$2,846.90	$10,482.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.38 / $2,305.02 / $3,461.02	Professional		$1,347.38	$2,305.02	$3,461.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,359.77 / $2,159.42 / $2,856.34	Facility		$1,359.77	$2,159.42	$2,856.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.75 / $2,183.75 / $2,856.34	Professional		$1,376.75	$2,183.75	$2,856.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $1,795.23 / $2,949.68	Professional		$279.74	$1,795.23	$2,949.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.77 / $2,197.46 / $2,355.05	Facility		$1,582.77	$2,197.46	$2,355.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,535.22 / $1,535.22 / $1,606.36	Facility		$1,535.22	$1,535.22	$1,606.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.46 / $2,649.04 / $3,294.61	Professional		$1,653.46	$2,649.04	$3,294.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,565.72 / $2,286.44 / $3,112.53	Professional		$1,565.72	$2,286.44	$3,112.53
United Facility/Professional Facility Modifier Low / Median / High Price $909.33 / $1,250.33 / $3,323.00	Facility		$909.33	$1,250.33	$3,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.10 / $2,064.38 / $3,311.66	Professional		$1,388.10	$2,064.38	$3,311.66