Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.86 / $3,371.53 / $20,680.40	Facility		$1,512.86	$3,371.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.63 / $1,512.86 / $3,066.11	Professional		$1,084.63	$1,512.86	$3,066.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,653.45 / $14,254.40	Facility		$55.00	$1,653.45	$14,254.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.35 / $3,083.45 / $11,350.05	Professional		$1,766.35	$3,083.45	$11,350.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.42 / $2,517.17 / $3,712.83	Professional		$1,522.42	$2,517.17	$3,712.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,467.80 / $2,461.46 / $3,107.28	Facility		$1,467.80	$2,461.46	$3,107.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,497.70 / $2,461.46 / $3,114.71	Professional		$1,497.70	$2,461.46	$3,114.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $1,354.66 / $2,806.13	Professional		$219.02	$1,354.66	$2,806.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,749.30 / $2,357.17 / $2,515.85	Facility		$1,749.30	$2,357.17	$2,515.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.45 / $1,653.45 / $1,716.04	Facility		$1,653.45	$1,653.45	$1,716.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,766.35 / $2,838.20 / $3,519.56	Professional		$1,766.35	$2,838.20	$3,519.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,686.30 / $2,468.54 / $3,325.05	Professional		$1,686.30	$2,468.54	$3,325.05
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.13 / $2,501.23 / $3,586.84	Professional		$1,525.13	$2,501.23	$3,586.84