Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.44 / $3,963.89 / $20,680.40	Facility		$1,894.44	$3,963.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.02 / $1,894.44 / $3,604.81	Professional		$1,218.02	$1,894.44	$3,604.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,840.80 / $10,825.43	Facility		$55.00	$1,840.80	$10,825.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,987.52 / $3,374.26 / $11,845.65	Professional		$1,987.52	$3,374.26	$11,845.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.61 / $2,807.69 / $3,995.90	Professional		$1,748.61	$2,807.69	$3,995.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,679.77 / $2,841.42 / $3,570.42	Facility		$1,679.77	$2,841.42	$3,570.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,720.94 / $2,850.66 / $3,570.42	Professional		$1,720.94	$2,850.66	$3,570.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.67 / $493.29 / $3,054.47	Professional		$130.67	$493.29	$3,054.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,996.75 / $2,698.76 / $2,830.84	Facility		$1,996.75	$2,698.76	$2,830.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.80 / $1,840.80 / $1,885.84	Facility		$1,840.80	$1,840.80	$1,885.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,987.52 / $3,167.62 / $3,775.44	Professional		$1,987.52	$3,167.62	$3,775.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,923.31 / $2,684.66 / $3,566.79	Professional		$1,923.31	$2,684.66	$3,566.79
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 $1,756.47 / $2,860.71 / $4,073.44	Professional		$1,756.47	$2,860.71	$4,073.44