Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.34 / $4,259.26 / $20,680.40	Facility		$1,899.34	$4,259.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.52 / $1,899.34 / $3,873.43	Professional		$1,308.52	$1,899.34	$3,873.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,919.81 / $29,441.88	Facility		$55.00	$1,919.81	$29,441.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.98 / $3,508.16 / $12,531.00	Professional		$2,047.98	$3,508.16	$12,531.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.96 / $2,888.43 / $4,225.09	Professional		$1,836.96	$2,888.43	$4,225.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,735.94 / $2,989.17 / $3,630.30	Facility		$1,735.94	$2,989.17	$3,630.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.80 / $2,989.17 / $3,630.30	Professional		$1,749.80	$2,989.17	$3,630.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $575.57 / $2,987.19	Professional		$169.72	$575.57	$2,987.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,169.29 / $2,705.48 / $2,892.39	Facility		$2,169.29	$2,705.48	$2,892.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,919.81 / $1,919.81 / $1,947.28	Facility		$1,919.81	$1,919.81	$1,947.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,047.98 / $3,248.16 / $3,993.84	Professional		$2,047.98	$3,248.16	$3,993.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,957.96 / $2,801.18 / $3,773.12	Professional		$1,957.96	$2,801.18	$3,773.12
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 $1,832.60 / $3,063.28 / $4,116.07	Professional		$1,832.60	$3,063.28	$4,116.07