Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.61 / $3,471.26 / $20,680.40	Facility		$1,622.61	$3,471.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.19 / $1,622.61 / $3,156.81	Professional		$1,088.19	$1,622.61	$3,156.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,638.50 / $22,362.24	Facility		$55.00	$1,638.50	$22,362.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.03 / $2,997.77 / $10,702.73	Professional		$1,750.03	$2,997.77	$10,702.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.73 / $2,469.08 / $3,611.25	Professional		$1,571.73	$2,469.08	$3,611.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $2,520.02 / $3,105.52	Facility		$1,471.08	$2,520.02	$3,105.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.85 / $2,520.02 / $3,105.52	Professional		$1,496.85	$2,520.02	$3,105.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $366.11 / $2,673.45	Professional		$104.94	$366.11	$2,673.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,788.40 / $2,313.65 / $2,446.64	Facility		$1,788.40	$2,313.65	$2,446.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,638.50 / $1,638.50 / $1,663.48	Facility		$1,638.50	$1,638.50	$1,663.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,739.92 / $2,774.77 / $3,411.77	Professional		$1,739.92	$2,774.77	$3,411.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,671.05 / $2,392.94 / $3,223.22	Professional		$1,671.05	$2,392.94	$3,223.22
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 $1,538.82 / $2,452.86 / $3,498.97	Professional		$1,538.82	$2,452.86	$3,498.97