Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.83 / $3,888.98 / $20,680.40	Facility		$1,819.83	$3,888.98	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.39 / $1,819.83 / $3,536.69	Professional		$1,263.39	$1,819.83	$3,536.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,924.34 / $31,883.14	Facility		$55.00	$1,924.34	$31,883.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.50 / $3,567.34 / $12,356.78	Professional		$2,075.50	$3,567.34	$12,356.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.08 / $2,975.96 / $4,339.60	Professional		$1,763.08	$2,975.96	$4,339.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,679.35 / $2,868.82 / $3,657.23	Facility		$1,679.35	$2,868.82	$3,657.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,679.35 / $2,868.82 / $3,677.52	Professional		$1,679.35	$2,868.82	$3,677.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $508.64 / $3,107.46	Professional		$111.35	$508.64	$3,107.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,072.69 / $2,683.35 / $2,886.36	Facility		$2,072.69	$2,683.35	$2,886.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,924.34 / $1,924.34 / $1,968.76	Facility		$1,924.34	$1,924.34	$1,968.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,097.42 / $3,270.35 / $4,037.89	Professional		$2,097.42	$3,270.35	$4,037.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,962.58 / $2,832.08 / $3,814.73	Professional		$1,962.58	$2,832.08	$3,814.73
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 $1,762.21 / $2,812.18 / $4,149.72	Professional		$1,762.21	$2,812.18	$4,149.72