Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.97 / $3,741.50 / $20,680.40	Facility		$1,748.97	$3,741.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.23 / $1,748.97 / $3,402.57	Professional		$1,190.23	$1,748.97	$3,402.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,767.61 / $28,616.66	Facility		$55.00	$1,767.61	$28,616.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.17 / $3,243.64 / $11,539.88	Professional		$1,887.17	$3,243.64	$11,539.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.36 / $2,660.73 / $3,889.86	Professional		$1,696.36	$2,660.73	$3,889.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,601.46 / $2,760.07 / $3,352.06	Facility		$1,601.46	$2,760.07	$3,352.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,615.69 / $2,760.07 / $3,352.06	Professional		$1,615.69	$2,760.07	$3,352.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $429.23 / $2,773.67	Professional		$127.57	$429.23	$2,773.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,981.56 / $2,490.80 / $2,642.48	Facility		$1,981.56	$2,490.80	$2,642.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,767.61 / $1,767.61 / $1,793.27	Facility		$1,767.61	$1,767.61	$1,793.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.17 / $2,991.27 / $3,677.97	Professional		$1,887.17	$2,991.27	$3,677.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,802.72 / $2,579.64 / $3,474.70	Professional		$1,802.72	$2,579.64	$3,474.70
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 $1,658.87 / $2,682.69 / $3,773.17	Professional		$1,658.87	$2,682.69	$3,773.17