Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.69 / $3,677.77 / $20,680.40	Facility		$1,843.69	$3,677.77	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.28 / $1,843.69 / $3,344.61	Professional		$1,218.28	$1,843.69	$3,344.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,862.28 / $30,159.84	Facility		$55.00	$1,862.28	$30,159.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.10 / $3,416.28 / $12,160.65	Professional		$1,945.10	$3,416.28	$12,160.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,781.59 / $2,803.61 / $4,100.75	Professional		$1,781.59	$2,803.61	$4,100.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,645.74 / $2,870.20 / $3,520.23	Facility		$1,645.74	$2,870.20	$3,520.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.75 / $2,870.20 / $3,520.23	Professional		$1,696.75	$2,870.20	$3,520.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $492.63 / $2,908.50	Professional		$132.55	$492.63	$2,908.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,838.97 / $2,494.44 / $2,770.45	Facility		$1,838.97	$2,494.44	$2,770.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.28 / $1,862.28 / $1,889.70	Facility		$1,862.28	$1,862.28	$1,889.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,950.72 / $3,152.11 / $3,875.74	Professional		$1,950.72	$3,152.11	$3,875.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,899.28 / $2,718.35 / $3,661.54	Professional		$1,899.28	$2,718.35	$3,661.54
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 $1,763.00 / $2,902.20 / $3,974.01	Professional		$1,763.00	$2,902.20	$3,974.01