Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,437.92 / $1,700.82	Professional		$638.59	$1,437.92	$1,700.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.62 / $2,381.33 / $7,992.50	Facility		$1,805.62	$2,381.33	$7,992.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.68 / $2,060.85 / $13,897.95	Professional		$1,711.68	$2,060.85	$13,897.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,084.69 / $1,906.95 / $5,002.58	Facility		$1,084.69	$1,906.95	$5,002.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.83 / $1,903.68 / $3,446.29	Professional		$1,094.83	$1,903.68	$3,446.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,748.93 / $2,137.58 / $2,188.89	Professional		$1,748.93	$2,137.58	$2,188.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,962.50 / $2,013.74 / $2,062.07	Facility		$1,962.50	$2,013.74	$2,062.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.62 / $1,805.62 / $1,805.62	Facility		$1,805.62	$1,805.62	$1,805.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.68 / $1,953.33 / $2,315.80	Professional		$1,711.68	$1,953.33	$2,315.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,647.59 / $1,752.76 / $2,268.28	Professional		$1,647.59	$1,752.76	$2,268.28
United Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $771.56 / $1,472.03	Professional		$713.37	$771.56	$1,472.03