Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.03 / $3,776.66 / $20,680.40	Facility		$1,760.03	$3,776.66	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.98 / $1,760.03 / $3,391.10	Professional		$1,191.98	$1,760.03	$3,391.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,775.76 / $16,675.45	Facility		$55.00	$1,775.76	$16,675.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.71 / $3,259.41 / $11,608.73	Professional		$1,876.71	$3,259.41	$11,608.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.45 / $2,676.01 / $3,917.24	Professional		$1,649.45	$2,676.01	$3,917.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,610.70 / $2,773.12 / $3,367.91	Facility		$1,610.70	$2,773.12	$3,367.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,623.33 / $2,773.12 / $3,367.91	Professional		$1,623.33	$2,773.12	$3,367.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $429.17 / $2,773.67	Professional		$127.57	$429.17	$2,773.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,909.14 / $2,508.46 / $2,653.36	Facility		$1,909.14	$2,508.46	$2,653.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.76 / $1,775.76 / $1,804.24	Facility		$1,775.76	$1,775.76	$1,804.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.35 / $3,009.56 / $3,700.46	Professional		$1,896.35	$3,009.56	$3,700.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,811.04 / $2,595.42 / $3,495.95	Professional		$1,811.04	$2,595.42	$3,495.95
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 $1,689.88 / $2,390.71 / $3,791.52	Professional		$1,689.88	$2,390.71	$3,791.52