Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.37 / $3,327.02 / $20,680.40	Facility		$1,609.37	$3,327.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.11 / $1,609.37 / $3,025.64	Professional		$1,008.11	$1,609.37	$3,025.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,581.42 / $26,640.85	Facility		$55.00	$1,581.42	$26,640.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.50 / $2,977.21 / $10,325.78	Professional		$1,692.50	$2,977.21	$10,325.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.51 / $2,487.21 / $3,630.86	Professional		$1,506.51	$2,487.21	$3,630.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,432.13 / $2,422.48 / $2,976.97	Facility		$1,432.13	$2,422.48	$2,976.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.89 / $2,422.48 / $3,056.13	Professional		$1,434.89	$2,422.48	$3,056.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $440.90 / $2,574.64	Professional		$116.14	$440.90	$2,574.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.72 / $2,270.63 / $2,410.66	Facility		$1,680.72	$2,270.63	$2,410.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.42 / $1,581.42 / $1,644.29	Facility		$1,581.42	$1,581.42	$1,644.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,692.50 / $2,729.35 / $3,372.41	Professional		$1,692.50	$2,729.35	$3,372.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,612.84 / $2,365.33 / $3,186.03	Professional		$1,612.84	$2,365.33	$3,186.03
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 $1,506.13 / $2,396.11 / $3,463.24	Professional		$1,506.13	$2,396.11	$3,463.24