Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.76 / $4,137.43 / $20,680.40	Facility		$1,946.76	$4,137.43	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.38 / $1,946.76 / $3,762.64	Professional		$1,320.38	$1,946.76	$3,762.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,961.04 / $26,817.28	Facility		$55.00	$1,961.04	$26,817.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.34 / $3,599.71 / $12,826.35	Professional		$2,094.34	$3,599.71	$12,826.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.79 / $2,958.41 / $4,333.63	Professional		$1,789.79	$2,958.41	$4,333.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,761.68 / $3,009.47 / $3,654.95	Facility		$1,761.68	$3,009.47	$3,654.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,761.68 / $3,009.47 / $3,654.95	Professional		$1,761.68	$3,009.47	$3,654.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $585.87 / $3,059.73	Professional		$179.27	$585.87	$3,059.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,098.17 / $2,776.06 / $2,927.40	Facility		$2,098.17	$2,776.06	$2,927.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.04 / $1,961.04 / $1,993.89	Facility		$1,961.04	$1,961.04	$1,993.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,094.34 / $3,325.91 / $4,089.44	Professional		$2,094.34	$3,325.91	$4,089.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,868.24 / $3,863.44	Professional		$2,000.00	$2,868.24	$3,863.44
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 $1,869.13 / $2,973.61 / $4,205.53	Professional		$1,869.13	$2,973.61	$4,205.53