Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.82 / $3,903.36 / $20,680.40	Facility		$1,819.82	$3,903.36	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.42 / $1,819.82 / $3,549.77	Professional		$1,221.42	$1,819.82	$3,549.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,832.84 / $29,760.08	Facility		$55.00	$1,832.84	$29,760.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.16 / $3,365.65 / $11,985.60	Professional		$1,958.16	$3,365.65	$11,985.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,746.14 / $2,766.36 / $4,050.42	Professional		$1,746.14	$2,766.36	$4,050.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,654.76 / $2,841.27 / $3,450.67	Facility		$1,654.76	$2,841.27	$3,450.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,663.22 / $2,841.27 / $3,450.67	Professional		$1,663.22	$2,841.27	$3,450.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.67 / $493.58 / $2,860.11	Professional		$130.67	$493.58	$2,860.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,980.58 / $2,593.37 / $2,734.96	Facility		$1,980.58	$2,593.37	$2,734.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.84 / $1,832.84 / $1,863.19	Facility		$1,832.84	$1,832.84	$1,863.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,958.16 / $3,107.90 / $3,821.37	Professional		$1,958.16	$3,107.90	$3,821.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.25 / $2,680.22 / $3,610.18	Professional		$1,869.25	$2,680.22	$3,610.18
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,723.56 / $2,759.98 / $3,917.43	Professional		$1,723.56	$2,759.98	$3,917.43